| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.03 | $8.03 | $8.03 | |
Aetna
| Professional | $8.03 | $17.63 | $84.74 | |
Cigna
| Professional | $15.00 | $15.00 | $15.00 | |
Molina
| Professional | $15.07 | $23.89 | $60.00 | |
Regence BlueShield
| Professional | $16.32 | $20.57 | $20.57 | |
United
| Professional | $9.76 | $12.46 | $20.76 |