| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $128.82 | $128.82 | |
Aetna
| Professional | $41.69 | $42.66 | $52.48 | |
Cigna
| Professional | $44.67 | $44.67 | $44.67 | |
Molina
| Professional | $44.67 | $51.29 | $60.26 | |
Regence BlueShield
| Professional | $50.12 | $50.12 | $66.07 | |
Select Health
| Professional | $44.67 | $52.48 | $64.57 | |
United
| Professional | $50.12 | $50.12 | $50.12 |