| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $32.63 | $32.63 | $40.78 | |
Molina
| Professional | $55.00 | $55.00 | $78.00 | |
Regence BlueShield
| Professional | $122.99 | $122.99 | $122.99 |