| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.84 | $67.72 | $207.38 | |
Aetna
| Professional | $38.77 | $67.72 | $314.00 | |
Cigna
| Professional | $48.80 | $48.80 | $48.80 | |
Molina
| Professional | $47.35 | $61.16 | $72.32 | |
Regence BlueShield
| Professional | $56.19 | $68.25 | $80.97 | |
United
| Professional | $28.80 | $58.46 | $94.20 |