| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.69 | $4.69 | $4.69 | |
Aetna
| Professional | $4.69 | $11.11 | $49.45 | |
Cigna
| Facility | $5.40 | $10.29 | $10.29 | |
Cigna
| Professional | $8.75 | $10.29 | $19.88 | |
Molina
| Professional | $7.91 | $12.56 | $16.32 | |
Regence BlueShield
| Professional | $9.52 | $12.00 | $18.00 | |
United
| Professional | $5.69 | $7.27 | $8.53 |