| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.76 | $11.76 | $11.76 | |
Aetna
| Professional | $11.76 | $22.90 | $123.95 | |
Cigna
| Facility | $25.81 | $25.81 | $25.81 | |
Cigna
| Professional | $21.94 | $25.81 | $49.88 | |
Molina
| Professional | $20.46 | $31.36 | $40.92 | |
Regence BlueShield
| Professional | $23.88 | $30.07 | $45.11 | |
United
| Professional | $13.90 | $18.22 | $19.82 |