| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.89 | $57.89 | $84.41 | |
Aetna
| Professional | $32.86 | $54.45 | $84.41 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
Molina
| Professional | $47.35 | $61.16 | $72.32 | |
Regence BlueShield
| Professional | $43.20 | $66.87 | $95.47 | |
United
| Professional | $56.10 | $78.54 | $110.26 |