| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.18 | $11.18 | $11.18 | |
Aetna
| Professional | $6.25 | $9.82 | $11.21 | |
Cigna
| Professional | $9.52 | $9.52 | $9.52 | |
Molina
| Professional | $1.21 | $1.32 | $60.00 | |
Regence BlueShield
| Facility | $13.74 | $15.23 | $20.12 | |
Regence BlueShield
| Professional | $11.03 | $12.26 | $14.73 | |
United
| Professional | $7.99 | $9.82 | $16.29 |