| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.95 | $7.95 | $7.95 | |
Aetna
| Professional | $7.95 | $7.95 | $8.90 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $11.16 | $12.37 | $15.25 | |
Regence BlueShield
| Professional | $8.96 | $9.96 | $11.75 | |
United
| Professional | $7.24 | $8.13 | $15.01 |