| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.67 | $5.67 | $5.67 | |
Aetna
| Professional | $5.67 | $11.65 | $59.72 | |
Cigna
| Facility | $8.94 | $12.44 | $12.44 | |
Cigna
| Professional | $10.57 | $12.44 | $24.00 | |
Molina
| Professional | $12.39 | $15.16 | $20.39 | |
Regence BlueShield
| Professional | $11.52 | $14.49 | $21.74 | |
United
| Professional | $6.87 | $8.77 | $10.31 |