| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.63 | $2.63 | $2.63 | |
Aetna
| Professional | $2.63 | $5.75 | $27.66 | |
Cigna
| Professional | $4.88 | $4.88 | $4.88 | |
Molina
| Professional | $4.92 | $7.81 | $60.00 | |
Regence BlueShield
| Professional | $5.33 | $6.71 | $6.71 | |
United
| Professional | $3.18 | $4.05 | $5.50 |