| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.22 | $57.45 | $68.54 | |
Cigna
| Professional | $14.25 | $14.25 | $14.25 | |
Molina
| Professional | $30.00 | $49.40 | $60.00 | |
Regence BlueShield
| Professional | $43.50 | $43.50 | $43.50 |