| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.97 | $30.97 | $30.97 | |
Aetna
| Professional | $30.97 | $47.77 | $212.75 | |
Cigna
| Professional | $30.08 | $30.08 | $30.08 | |
Molina
| Professional | $59.96 | $60.00 | $65.54 | |
Regence BlueShield
| Professional | $40.99 | $51.61 | $51.61 | |
United
| Professional | $24.48 | $31.27 | $52.11 |