| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $33.61 | $39.52 | $47.86 | |
Cigna
| Professional | $36.31 | $36.31 | $50.20 | |
Molina
| Professional | $24.93 | $32.34 | $40.43 | |
Regence BlueShield
| Professional | $40.04 | $54.59 | $62.01 | |
United
| Professional | $36.04 | $48.40 | $64.90 |