| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $158.49 | $489.78 | |
Aetna
| Professional | $12.02 | $12.02 | $15.14 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
Molina
| Professional | $25.12 | $27.54 | $60.26 | |
Regence BlueShield
| Professional | $14.79 | $14.79 | $19.50 | |
Select Health
| Professional | $11.75 | $14.79 | $19.05 | |
United
| Professional | $12.88 | $12.88 | $12.88 |