| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $18.89 | $18.89 | |
Aetna
| Professional | $11.39 | $18.89 | $70.00 | |
Cigna
| Professional | $11.55 | $11.55 | $11.55 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $14.48 | $17.77 | $20.90 | |
United
| Professional | $12.60 | $16.63 | $26.20 |