| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.94 | $5.94 | $86.38 | |
Aetna
| Professional | $4.30 | $6.78 | $26.24 | |
Aetna
| Professional | 25 | $5.51 | $5.51 | $5.51 |
Cigna
| Professional | $3.00 | $4.00 | $7.22 | |
Molina
| Professional | $8.78 | $9.61 | $60.00 | |
Regence BlueShield
| Professional | $4.46 | $5.66 | $7.51 | |
United
| Professional | $4.05 | $5.55 | $7.47 |