| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.88 | $361.62 | $492.06 | |
Aetna
| Professional | $29.88 | $29.88 | $29.88 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
Molina
| Professional | $24.61 | $26.90 | $60.00 | |
Regence BlueShield
| Professional | $34.20 | $42.14 | $44.36 | |
United
| Professional | $30.00 | $30.00 | $30.00 |