| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.16 | $18.16 | $18.16 | |
Aetna
| Professional | $18.16 | $20.74 | $191.41 | |
Cigna
| Facility | $39.86 | $39.86 | $49.23 | |
Cigna
| Professional | $33.88 | $39.86 | $76.88 | |
Molina
| Professional | $30.13 | $48.42 | $62.94 | |
Regence BlueShield
| Professional | $36.89 | $46.43 | $69.65 | |
United
| Professional | $22.02 | $28.13 | $33.83 |