| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $28.91 | $30.00 | $31.08 | |
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $21.90 | $24.28 | $31.10 | |
United
| Professional | $30.00 | $30.00 | $30.00 |