| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.73 | $7.73 | $7.73 | |
Aetna
| Professional | $7.73 | $7.73 | $7.73 | |
Cigna
| Professional | $7.91 | $7.91 | $7.91 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $9.16 | $9.16 | $9.16 | |
United
| Professional | $10.17 | $10.17 | $10.17 |