| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.91 | $26.91 | $26.91 | |
Aetna
| Professional | $20.87 | $25.20 | $37.47 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Molina
| Professional | $23.65 | $28.95 | $35.67 | |
Regence BlueShield
| Professional | $28.61 | $36.79 | $56.68 | |
United
| Professional | $21.90 | $31.68 | $43.21 |