| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.27 | $26.27 | $26.27 | |
Cigna
| Professional | $23.12 | $23.12 | $23.12 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Professional | $31.27 | $45.50 | $61.10 | |
United
| Professional | $12.71 | $18.47 | $26.38 |