| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.85 | $19.85 | $19.85 | |
Aetna
| Professional | $14.42 | $16.77 | $21.67 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Molina
| Professional | $43.42 | $44.52 | $60.00 | |
Regence BlueShield
| Professional | $18.61 | $23.73 | $28.15 | |
United
| Professional | $16.18 | $20.80 | $31.98 |