| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.84 | $11.84 | $11.84 | |
Aetna
| Professional | $11.84 | $21.13 | $58.73 | |
Cigna
| Professional | $22.09 | $22.09 | $22.09 | |
Molina
| Professional | $22.19 | $31.71 | $60.00 | |
Regence BlueShield
| Professional | $24.07 | $30.29 | $30.29 | |
United
| Professional | $15.00 | $15.00 | $15.00 |