| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Molina
| Professional | $25.44 | $25.44 | $33.07 | |
Regence BlueShield
| Professional | $11.90 | $11.90 | $11.90 |