| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.44 | $6.44 | $6.44 | |
Aetna
| Professional | $6.44 | $14.10 | $67.80 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Molina
| Professional | $15.44 | $19.12 | $30.00 | |
Regence BlueShield
| Professional | $13.06 | $16.45 | $16.45 | |
United
| Professional | $7.80 | $9.97 | $14.30 |