| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.69 | $45.69 | $45.69 | |
Aetna
| Professional | $24.65 | $61.60 | $103.78 | |
Cigna
| Professional | $14.88 | $14.88 | $14.88 | |
Molina
| Professional | $29.66 | $41.73 | $60.00 | |
Regence BlueShield
| Professional | $20.29 | $25.53 | $25.53 | |
United
| Professional | $12.11 | $15.47 | $25.08 |