| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.21 | $4.21 | $4.21 | |
Aetna
| Professional | $4.21 | $8.46 | $44.31 | |
Cigna
| Professional | $7.84 | $10.72 | $10.72 | |
Molina
| Professional | $12.51 | $13.67 | $60.00 | |
Regence BlueShield
| Facility | $13.45 | $15.00 | $15.00 | |
Regence BlueShield
| Professional | $8.55 | $8.55 | $10.75 | |
United
| Professional | $5.09 | $6.51 | $10.85 |