| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.51 | $7.51 | $7.51 | |
Aetna
| Professional | $7.51 | $9.96 | $23.05 | |
Cigna
| Professional | $13.47 | $13.47 | $13.47 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $17.84 | $17.84 | $17.84 | |
United
| Professional | $6.64 | $10.61 | $17.67 |