| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.50 | $31.50 | $31.50 | |
Aetna
| Professional | $19.25 | $28.50 | $35.34 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Molina
| Professional | $30.00 | $45.00 | $45.00 | |
Regence BlueShield
| Professional | $23.79 | $27.33 | $34.33 | |
United
| Professional | $21.70 | $29.18 | $43.67 |