| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.19 | $14.39 | $97.92 | |
Aetna
| Professional | $14.39 | $14.39 | $14.39 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Molina
| Professional | $1.96 | $2.54 | $30.00 | |
Regence BlueShield
| Facility | $2.80 | $3.66 | $5.25 |