| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.27 | $11.27 | $11.27 | |
Aetna
| Professional | $9.03 | $10.22 | $21.36 | |
Cigna
| Professional | $11.48 | $14.21 | $21.07 | |
Molina
| Professional | $20.76 | $24.14 | $60.00 | |
Regence BlueShield
| Professional | $14.37 | $16.77 | $18.27 | |
United
| Professional | $7.45 | $9.75 | $18.01 |