| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.62 | $7.62 | $7.62 | |
Aetna
| Professional | $7.62 | $16.70 | $80.33 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Molina
| Professional | $18.28 | $22.66 | $32.23 | |
Regence BlueShield
| Professional | $15.48 | $19.48 | $19.48 | |
United
| Professional | $9.01 | $11.81 | $17.78 |