| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.70 | $51.70 | $51.70 | |
Aetna
| Professional | $37.29 | $40.81 | $51.70 | |
Cigna
| Professional | $38.69 | $38.69 | $38.69 | |
Molina
| Professional | $24.93 | $32.34 | $40.43 | |
Regence BlueShield
| Professional | $42.06 | $57.40 | $76.45 | |
United
| Professional | $39.44 | $51.04 | $70.04 |