| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.99 | $156.38 | $225.11 | |
Aetna
| Professional | $10.61 | $22.99 | $111.61 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Molina
| Professional | $18.73 | $20.47 | $60.00 | |
Regence BlueShield
| Professional | $16.20 | $18.80 | $22.38 | |
United
| Professional | $13.12 | $16.72 | $26.25 |