| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.09 | $10.09 | $10.09 | |
Aetna
| Professional | $10.09 | $19.64 | $106.32 | |
Cigna
| Facility | $18.29 | $22.13 | $22.13 | |
Cigna
| Professional | $18.80 | $22.13 | $26.04 | |
Molina
| Professional | $22.05 | $27.00 | $36.31 | |
Regence BlueShield
| Professional | $20.50 | $25.80 | $38.69 | |
United
| Professional | $12.24 | $15.62 | $17.50 |