| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $69.20 | $69.20 | |
Aetna
| Professional | $39.89 | $48.03 | $69.20 | |
Cigna
| Professional | $43.15 | $43.15 | $43.15 | |
Molina
| Professional | $24.93 | $32.34 | $38.81 | |
Regence BlueShield
| Professional | $49.99 | $60.07 | $81.45 | |
United
| Professional | $44.24 | $61.62 | $91.23 |