| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.64 | $13.64 | $13.64 | |
Aetna
| Professional | $13.64 | $29.53 | $61.15 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Molina
| Professional | $31.00 | $44.29 | $60.00 | |
Regence BlueShield
| Professional | $41.86 | $41.86 | $41.86 | |
United
| Professional | $20.07 | $25.63 | $38.61 |