| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.99 | $3.99 | $3.99 | |
Aetna
| Professional | $3.99 | $4.93 | $8.65 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
Molina
| Professional | $26.61 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $9.10 | $9.10 | $9.10 | |
United
| Professional | $3.39 | $5.41 | $9.38 |