| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.23 | $1.23 | $1.23 | |
Aetna
| Professional | $1.23 | $1.63 | $3.76 | |
Cigna
| Professional | $34.00 | $34.00 | $34.00 | |
Molina
| Professional | $7.82 | $8.55 | $45.68 | |
Regence BlueShield
| Professional | $33.10 | $33.10 | $33.10 | |
United
| Professional | $1.15 | $1.73 | $2.89 |