| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.19 | $4.19 | $4.19 | |
Aetna
| Professional | $4.19 | $9.17 | $44.07 | |
Cigna
| Professional | $7.80 | $7.80 | $7.80 | |
Molina
| Professional | $10.03 | $12.45 | $30.00 | |
Regence BlueShield
| Professional | $8.51 | $10.70 | $10.70 | |
United
| Professional | $5.07 | $6.48 | $9.77 |