| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.29 | $20.29 | $20.29 | |
Aetna
| Professional | $13.53 | $16.29 | $20.29 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Molina
| Professional | $43.42 | $44.52 | $60.00 | |
Regence BlueShield
| Professional | $18.61 | $22.00 | $28.77 | |
United
| Professional | $15.37 | $21.73 | $33.40 |