| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.89 | $24.89 | $24.89 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Professional | $27.05 | $31.02 | $37.60 | |
United
| Professional | $11.36 | $12.05 | $16.23 |