| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.08 | $60.08 | $60.08 | |
Aetna
| Professional | $57.90 | $60.08 | $62.25 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Molina
| Professional | $60.00 | $119.38 | $131.69 | |
Regence BlueShield
| Professional | $60.31 | $74.31 | $78.22 | |
United
| Professional | $60.32 | $60.32 | $60.32 |