| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.21 | $6.21 | $6.21 | |
Aetna
| Professional | $6.21 | $13.62 | $65.51 | |
Cigna
| Professional | $11.59 | $11.59 | $11.59 | |
Molina
| Professional | $14.91 | $18.46 | $30.00 | |
Regence BlueShield
| Professional | $12.62 | $15.89 | $15.89 | |
United
| Professional | $7.54 | $9.63 | $13.80 |