| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.28 | $14.28 | $14.28 | |
Aetna
| Professional | $14.28 | $27.80 | $150.49 | |
Cigna
| Facility | $34.45 | $34.45 | $35.47 | |
Cigna
| Professional | $21.28 | $29.28 | $36.86 | |
Molina
| Professional | $31.22 | $38.08 | $49.68 | |
Regence BlueShield
| Professional | $29.00 | $36.51 | $54.77 | |
United
| Professional | $17.32 | $22.12 | $39.11 |