| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.21 | $5.21 | $5.21 | |
Aetna
| Professional | $5.21 | $6.50 | $11.42 | |
Cigna
| Professional | $9.07 | $9.07 | $9.07 | |
Molina
| Professional | $13.23 | $30.00 | $45.00 | |
Regence BlueShield
| Professional | $12.01 | $12.01 | $12.01 | |
United
| Professional | $4.47 | $7.15 | $12.26 |