| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.68 | $9.68 | $9.68 | |
Aetna
| Professional | $9.68 | $22.89 | $101.91 | |
Cigna
| Facility | $12.60 | $21.22 | $21.22 | |
Cigna
| Professional | $18.04 | $21.22 | $40.88 | |
Molina
| Professional | $16.30 | $25.88 | $33.64 | |
Regence BlueShield
| Professional | $19.64 | $24.72 | $37.09 | |
United
| Professional | $11.43 | $14.98 | $17.59 |