| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.98 | $11.98 | $11.98 | |
Aetna
| Professional | $11.98 | $14.51 | $33.49 | |
Cigna
| Professional | $10.00 | $14.00 | $18.01 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $17.50 | $17.50 | $17.50 | |
United
| Professional | $35.57 | $43.40 | $66.16 |