| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.59 | $15.59 | $15.59 | |
Aetna
| Professional | $15.59 | $28.85 | $164.37 | |
Cigna
| Professional | $23.24 | $23.24 | $66.66 | |
Molina
| Professional | $23.83 | $37.97 | $49.37 | |
Regence BlueShield
| Professional | $28.83 | $36.28 | $54.42 | |
United
| Professional | $19.05 | $24.16 | $24.16 |