| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.96 | $34.96 | $34.96 | |
Aetna
| Professional | $34.96 | $48.24 | $148.41 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
Molina
| Professional | $41.86 | $58.83 | $60.00 | |
Regence BlueShield
| Professional | $28.61 | $36.02 | $36.02 | |
United
| Professional | $17.07 | $21.81 | $28.30 |