| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.33 | $47.33 | $77.23 | |
Aetna
| Professional | $31.32 | $45.98 | $77.23 | |
Cigna
| Professional | $49.99 | $49.99 | $49.99 | |
Molina
| Professional | $48.51 | $61.16 | $71.77 | |
Regence BlueShield
| Professional | $39.72 | $56.74 | $82.70 | |
United
| Professional | $55.10 | $70.30 | $99.98 |