| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.56 | $30.56 | $70.54 | |
Aetna
| Professional | $17.47 | $60.53 | $145.47 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
Molina
| Professional | $69.23 | $89.98 | $110.30 | |
Regence BlueShield
| Professional | $22.68 | $49.46 | $103.48 | |
United
| Professional | $54.68 | $83.25 | $139.79 |