| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.55 | $86.77 | $113.77 | |
Aetna
| Professional | $12.14 | $14.54 | $21.16 | |
Cigna
| Facility | $15.73 | $16.18 | $50.70 | |
Cigna
| Professional | $21.06 | $21.06 | $26.33 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $18.39 | $21.16 | $22.08 | |
Regence BlueShield
| Professional | $14.09 | $14.33 | $15.65 | |
United
| Professional | $7.73 | $7.73 | $11.04 |