| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.97 | $38.97 | $38.97 | |
Aetna
| Professional | $25.04 | $38.97 | $126.66 | |
Cigna
| Professional | $17.91 | $17.91 | $17.91 | |
Molina
| Professional | $35.72 | $39.06 | $60.00 | |
Regence BlueShield
| Professional | $24.42 | $30.73 | $30.73 | |
United
| Professional | $14.58 | $18.62 | $24.14 |