| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.90 | $6.90 | $6.90 | |
Aetna
| Professional | $6.90 | $13.43 | $72.73 | |
Cigna
| Facility | $12.09 | $15.15 | $15.15 | |
Cigna
| Professional | $12.88 | $15.15 | $17.82 | |
Molina
| Professional | $15.08 | $18.46 | $24.84 | |
Regence BlueShield
| Professional | $14.01 | $17.64 | $26.46 | |
United
| Professional | $8.36 | $10.69 | $18.89 |