| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.93 | $19.93 | $19.93 | |
Aetna
| Professional | $19.93 | $27.62 | $97.00 | |
Cigna
| Professional | $17.39 | $17.39 | $17.39 | |
Molina
| Professional | $34.68 | $60.00 | $70.69 | |
Regence BlueShield
| Professional | $23.71 | $29.85 | $29.85 | |
United
| Professional | $14.16 | $18.07 | $21.74 |