| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.59 | $6.59 | $6.59 | |
Aetna
| Professional | $6.59 | $8.74 | $20.23 | |
Cigna
| Professional | $11.42 | $11.42 | $11.42 | |
Molina
| Professional | $5.08 | $41.23 | $45.06 | |
Regence BlueShield
| Professional | $8.60 | $8.60 | $8.60 | |
United
| Professional | $6.21 | $9.31 | $15.51 |