| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.23 | $8.23 | $8.23 | |
Aetna
| Professional | $8.23 | $27.22 | $65.00 | |
Cigna
| Professional | $12.25 | $12.25 | $33.38 | |
Molina
| Professional | $16.95 | $21.08 | $27.49 | |
Regence BlueShield
| Professional | $16.05 | $20.21 | $30.31 | |
United
| Professional | $9.78 | $12.74 | $20.90 |