| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.28 | $12.28 | $12.28 | |
Aetna
| Professional | $8.71 | $12.53 | $22.91 | |
Cigna
| Professional | $21.43 | $21.43 | $21.43 | |
Molina
| Professional | $22.92 | $28.95 | $35.67 | |
Regence BlueShield
| Professional | $13.35 | $22.65 | $28.76 | |
United
| Professional | $9.92 | $13.69 | $20.09 |