| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.90 | $3.90 | $32.43 | |
Aetna
| Professional | $3.90 | $3.90 | $3.90 | |
Cigna
| Professional | $4.00 | $4.00 | $4.00 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $4.95 | $4.95 | $4.95 | |
United
| Professional | $6.36 | $6.36 | $6.36 |