| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.02 | $72.02 | $72.02 | |
Aetna
| Professional | $36.68 | $72.02 | $176.42 | |
Cigna
| Professional | $24.95 | $24.95 | $24.95 | |
Molina
| Professional | $49.73 | $54.36 | $60.00 | |
Regence BlueShield
| Professional | $34.00 | $42.80 | $42.80 | |
United
| Professional | $20.30 | $25.93 | $42.01 |