| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.18 | $15.18 | $15.18 | |
Aetna
| Professional | $15.17 | $27.10 | $109.00 | |
Cigna
| Professional | $19.38 | $19.38 | $19.38 | |
Molina
| Professional | $38.65 | $54.31 | $60.00 | |
Regence BlueShield
| Professional | $26.42 | $33.26 | $33.26 | |
United
| Professional | $15.78 | $20.14 | $24.23 |