| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.53 | $32.53 | $32.53 | |
Aetna
| Professional | $32.53 | $32.53 | $32.53 | |
Cigna
| Professional | $33.31 | $33.31 | $33.31 | |
Molina
| Professional | $34.35 | $37.54 | $60.00 | |
Regence BlueShield
| Professional | $37.22 | $45.87 | $48.29 | |
United
| Professional | $32.65 | $32.65 | $32.65 |