| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $42.28 | $42.28 | |
Aetna
| Professional | $40.75 | $42.28 | $43.81 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
Molina
| Professional | $30.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $45.09 | $49.98 | $49.98 | |
United
| Professional | $40.53 | $40.53 | $40.53 |