| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.31 | $14.31 | $16.82 | |
Aetna
| Professional | $9.89 | $16.34 | $23.85 | |
Cigna
| Professional | $12.80 | $12.80 | $12.80 | |
Molina
| Professional | $30.00 | $45.00 | $45.00 | |
Regence BlueShield
| Facility | $17.18 | $19.05 | $42.70 | |
Regence BlueShield
| Professional | $13.79 | $17.93 | $28.00 | |
United
| Professional | $12.52 | $20.01 | $35.19 |