| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.85 | $37.85 | $37.85 | |
Aetna
| Professional | $36.47 | $37.85 | $40.28 | |
Cigna
| Facility | $58.90 | $58.90 | $58.90 | |
Cigna
| Professional | $38.76 | $38.76 | $38.76 | |
Molina
| Professional | $40.28 | $50.35 | $60.00 | |
Regence BlueShield
| Facility | $52.75 | $81.37 | $116.81 | |
United
| Professional | $38.00 | $38.00 | $38.00 |