| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.60 | $29.60 | $49.18 | |
Aetna
| Professional | $16.25 | $29.60 | $49.18 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Molina
| Professional | $23.09 | $29.37 | $37.72 | |
Regence BlueShield
| Professional | $21.24 | $34.28 | $55.48 | |
United
| Professional | $33.77 | $40.33 | $64.26 |