| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.14 | $16.14 | $16.14 | |
Aetna
| Professional | $4.24 | $19.00 | $20.81 | |
Cigna
| Professional | $12.00 | $12.78 | $15.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $12.50 | $12.50 | $12.50 | |
United
| Professional | $4.80 | $6.40 | $13.79 |