| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.66 | $8.66 | $8.66 | |
Aetna
| Professional | $8.66 | $15.45 | $76.06 | |
Cigna
| Professional | $15.09 | $15.09 | $15.09 | |
Molina
| Professional | $12.87 | $22.64 | $60.00 | |
Regence BlueShield
| Professional | $17.30 | $17.63 | $17.63 | |
United
| Professional | $9.77 | $13.15 | $19.23 |