| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.27 | $8.27 | $8.27 | |
Aetna
| Professional | $8.27 | $10.45 | $18.34 | |
Cigna
| Professional | $14.57 | $14.57 | $14.57 | |
Molina
| Professional | $29.31 | $30.00 | $55.81 | |
Regence BlueShield
| Professional | $19.29 | $19.29 | $19.29 | |
United
| Professional | $7.18 | $11.48 | $20.57 |