| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.70 | $34.70 | $34.70 | |
Aetna
| Professional | $29.91 | $32.90 | $37.39 | |
Cigna
| Facility | $29.91 | $40.40 | $46.46 | |
Cigna
| Professional | $29.91 | $29.91 | $29.91 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $29.61 | $32.90 | $32.90 | |
United
| Professional | $29.91 | $29.91 | $29.91 |