| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.03 | $15.03 | $15.03 | |
Aetna
| Professional | $15.03 | $32.93 | $158.37 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Molina
| Professional | $30.00 | $44.65 | $60.00 | |
Regence BlueShield
| Professional | $30.52 | $38.42 | $38.42 | |
United
| Professional | $18.22 | $23.27 | $31.42 |