| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.09 | $9.09 | $9.09 | |
Aetna
| Professional | $9.09 | $19.94 | $95.88 | |
Cigna
| Professional | $13.56 | $18.01 | $18.01 | |
Molina
| Professional | $21.83 | $27.04 | $38.47 | |
Regence BlueShield
| Professional | $18.48 | $23.26 | $23.26 | |
United
| Professional | $11.03 | $14.09 | $20.21 |