| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.06 | $15.06 | $15.06 | |
Aetna
| Professional | $12.12 | $15.06 | $16.53 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $16.20 | $18.00 | $19.92 | |
United
| Professional | $13.31 | $14.94 | $27.60 |