| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.65 | $1.65 | $1.65 | |
Aetna
| Professional | $1.65 | $3.61 | $17.35 | |
Cigna
| Professional | $3.07 | $3.07 | $3.07 | |
Molina
| Professional | $3.95 | $4.91 | $30.00 | |
Regence BlueShield
| Professional | $3.35 | $4.21 | $4.21 | |
United
| Professional | $2.00 | $2.54 | $3.66 |