| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.81 | $2.81 | $2.81 | |
Aetna
| Professional | $2.81 | $6.17 | $29.67 | |
Cigna
| Professional | $5.25 | $5.25 | $5.25 | |
Molina
| Professional | $6.75 | $8.36 | $30.00 | |
Regence BlueShield
| Professional | $5.71 | $7.20 | $7.20 | |
United
| Professional | $3.41 | $4.36 | $6.25 |