| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.63 | $39.63 | $39.63 | |
Aetna
| Professional | $28.76 | $32.27 | $43.25 | |
Cigna
| Professional | $31.84 | $31.84 | $31.84 | |
Molina
| Professional | $24.84 | $32.34 | $43.66 | |
Regence BlueShield
| Professional | $36.88 | $47.38 | $56.22 | |
United
| Professional | $32.06 | $40.96 | $63.35 |