| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.39 | $17.39 | $17.39 | |
Aetna
| Professional | $15.32 | $16.70 | $23.58 | |
Cigna
| Professional | $15.00 | $20.66 | $31.37 | |
Molina
| Professional | $23.79 | $26.00 | $76.58 | |
Regence BlueShield
| Professional | $17.23 | $23.38 | $28.55 | |
United
| Professional | $13.31 | $16.77 | $25.52 |