| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.72 | $21.72 | $21.72 | |
Aetna
| Professional | $15.94 | $19.80 | $24.58 | |
Cigna
| Professional | $17.32 | $25.76 | $33.92 | |
Molina
| Professional | $28.20 | $30.82 | $100.89 | |
Regence BlueShield
| Professional | $17.93 | $26.44 | $34.00 | |
United
| Professional | $15.58 | $20.35 | $30.28 |