| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.28 | $32.28 | $32.28 | |
Aetna
| Professional | $22.01 | $32.28 | $535.60 | |
Cigna
| Professional | $27.97 | $27.97 | $27.97 | |
Molina
| Professional | $24.45 | $32.34 | $58.35 | |
Regence BlueShield
| Professional | $32.75 | $43.38 | $49.67 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $27.26 | $37.20 | $57.67 |