| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.26 | $4.26 | $4.26 | |
Aetna
| Professional | $4.17 | $4.26 | $4.43 | |
Cigna
| Professional | $13.56 | $13.56 | $13.56 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Professional | $15.94 | $15.94 | $15.94 | |
United
| Professional | $8.90 | $11.96 | $19.94 |