| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.04 | $23.04 | $23.04 | |
Aetna
| Professional | $13.04 | $20.14 | $25.74 | |
Cigna
| Professional | $15.18 | $15.18 | $15.18 | |
Molina
| Professional | $20.05 | $22.41 | $60.00 | |
Regence BlueShield
| Professional | $15.86 | $20.30 | $23.89 | |
United
| Professional | $13.37 | $18.23 | $28.48 |