| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.23 | $11.23 | $11.23 | |
Aetna
| Professional | $11.23 | $24.62 | $118.40 | |
Cigna
| Professional | $20.95 | $20.95 | $20.95 | |
Molina
| Professional | $33.39 | $36.50 | $60.00 | |
Regence BlueShield
| Professional | $22.82 | $28.73 | $28.73 | |
United
| Professional | $13.63 | $17.39 | $23.50 |