| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.25 | $19.25 | $19.25 | |
Cigna
| Professional | $16.80 | $16.80 | $16.80 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Professional | $22.92 | $33.09 | $44.18 | |
United
| Professional | $9.03 | $13.41 | $19.16 |