| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.56 | $38.56 | $38.56 | |
Aetna
| Professional | $27.14 | $30.81 | $42.11 | |
Cigna
| Professional | $29.76 | $29.76 | $29.76 | |
Molina
| Professional | $24.84 | $32.34 | $43.66 | |
Regence BlueShield
| Professional | $34.81 | $46.11 | $54.68 | |
United
| Professional | $30.60 | $39.19 | $60.60 |