| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.71 | $4.71 | $4.71 | |
Aetna
| Professional | $4.71 | $10.33 | $49.69 | |
Cigna
| Professional | $8.78 | $8.78 | $8.78 | |
Molina
| Professional | $11.31 | $14.01 | $30.00 | |
Regence BlueShield
| Professional | $9.57 | $12.05 | $12.05 | |
United
| Professional | $5.72 | $7.30 | $10.46 |