| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.32 | $19.32 | $19.32 | |
Aetna
| Professional | $19.32 | $40.86 | $86.09 | |
Cigna
| Professional | $43.49 | $43.49 | $43.49 | |
Molina
| Professional | $43.68 | $62.41 | $78.01 | |
Regence BlueShield
| Professional | $58.97 | $58.97 | $58.97 | |
United
| Professional | $28.28 | $36.11 | $51.82 |