| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.73 | $42.73 | $46.00 | |
Aetna
| Professional | $25.47 | $34.58 | $46.00 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Molina
| Professional | $23.09 | $29.37 | $38.52 | |
Regence BlueShield
| Professional | $27.92 | $37.58 | $44.54 | |
United
| Professional | $26.27 | $38.58 | $53.36 |