| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $31.22 | $37.15 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $40.00 | $40.00 | $40.00 |