| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.80 | $17.80 | $17.80 | |
Aetna
| Professional | $15.63 | $16.55 | $24.08 | |
Cigna
| Professional | $15.31 | $21.24 | $32.01 | |
Molina
| Professional | $24.35 | $26.62 | $78.47 | |
Regence BlueShield
| Professional | $17.57 | $23.84 | $29.24 | |
United
| Professional | $13.50 | $16.64 | $26.46 |