| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.26 | $13.26 | $13.26 | |
Aetna
| Professional | $12.78 | $13.26 | $13.58 | |
Cigna
| Professional | $13.58 | $13.58 | $13.58 | |
Molina
| Professional | $5.51 | $10.38 | $45.00 | |
Regence BlueShield
| Professional | $3.64 | $3.64 | $3.64 | |
United
| Professional | $1.36 | $2.17 | $3.61 |