| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.29 | $6.29 | $6.29 | |
Aetna
| Professional | $6.29 | $13.79 | $66.28 | |
Cigna
| Professional | $11.73 | $11.73 | $11.73 | |
Molina
| Professional | $15.10 | $18.68 | $30.00 | |
Regence BlueShield
| Professional | $12.77 | $16.09 | $16.09 | |
United
| Professional | $7.63 | $9.74 | $14.67 |