| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.14 | $58.14 | $58.14 | |
Aetna
| Professional | $37.86 | $46.00 | $59.87 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Molina
| Professional | $24.93 | $32.34 | $38.81 | |
Regence BlueShield
| Professional | $51.01 | $61.34 | $82.11 | |
United
| Professional | $43.68 | $60.06 | $88.93 |