| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.98 | $11.98 | $11.98 | |
Aetna
| Professional | $11.98 | $15.00 | $26.58 | |
Cigna
| Professional | $10.00 | $14.00 | $20.83 | |
Molina
| Professional | $19.32 | $25.11 | $45.00 | |
Regence BlueShield
| Professional | $15.50 | $15.50 | $15.50 | |
United
| Professional | $19.86 | $35.00 | $53.36 |