| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.34 | $9.34 | $9.34 | |
Aetna
| Professional | $9.34 | $18.57 | $35.45 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $22.57 | $22.57 | $22.57 | |
Regence BlueShield
| Professional | $10.68 | $11.87 | $27.58 | |
United
| Professional | $6.71 | $9.28 | $16.77 |