| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.72 | $8.72 | $8.72 | |
Aetna
| Professional | $8.72 | $19.12 | $91.92 | |
Cigna
| Professional | $16.27 | $16.27 | $16.27 | |
Molina
| Professional | $20.93 | $25.91 | $36.87 | |
Regence BlueShield
| Professional | $17.71 | $22.30 | $22.30 | |
United
| Professional | $10.58 | $13.51 | $20.34 |