| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.10 | $244.23 | $280.76 | |
Aetna
| Professional | $55.10 | $55.10 | $55.10 | |
Cigna
| Professional | $56.42 | $56.42 | $56.42 | |
Molina
| Professional | $45.00 | $60.00 | $71.20 | |
Regence BlueShield
| Professional | $63.06 | $77.70 | $81.79 | |
United
| Professional | $56.50 | $56.50 | $56.50 |