| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.42 | $9.42 | $9.42 | |
Aetna
| Professional | $9.42 | $18.32 | $99.24 | |
Cigna
| Facility | $20.66 | $20.66 | $20.66 | |
Cigna
| Professional | $17.55 | $20.66 | $39.75 | |
Molina
| Professional | $20.59 | $25.11 | $32.76 | |
Regence BlueShield
| Professional | $19.12 | $24.08 | $36.11 | |
United
| Professional | $11.42 | $14.28 | $17.13 |