| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.71 | $57.36 | $77.28 | |
Aetna
| Professional | $7.63 | $7.63 | $13.33 | |
Cigna
| Professional | $7.63 | $7.63 | $7.63 | |
Molina
| Professional | $3.92 | $7.63 | $11.56 | |
Regence BlueShield
| Professional | $8.39 | $10.34 | $10.89 | |
United
| Professional | $7.63 | $7.63 | $7.63 |