| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.36 | $30.36 | $30.36 | |
Aetna
| Professional | $30.35 | $41.06 | $128.96 | |
Cigna
| Professional | $38.77 | $38.77 | $38.77 | |
Molina
| Professional | $60.00 | $77.29 | $108.64 | |
Regence BlueShield
| Professional | $52.84 | $66.51 | $66.51 | |
United
| Professional | $31.55 | $40.29 | $65.31 |