| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.68 | $4.68 | $4.68 | |
Aetna
| Professional | $4.68 | $10.27 | $49.38 | |
Cigna
| Professional | $8.75 | $8.75 | $8.75 | |
Molina
| Professional | $11.24 | $13.93 | $30.00 | |
Regence BlueShield
| Professional | $9.51 | $11.98 | $11.98 | |
United
| Professional | $5.68 | $7.26 | $10.92 |