| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.23 | $69.23 | $69.23 | |
Aetna
| Professional | $40.71 | $47.95 | $69.23 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Molina
| Professional | $24.93 | $32.34 | $38.81 | |
Regence BlueShield
| Professional | $51.01 | $61.34 | $81.48 | |
United
| Professional | $45.82 | $61.99 | $93.00 |