| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.15 | $20.92 | $113.50 | |
Aetna
| Professional | $12.78 | $20.58 | $107.95 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $24.80 | $26.43 | |
Molina
| Professional | $23.21 | $28.41 | $36.93 | |
Regence BlueShield
| Facility | $33.96 | $37.86 | $37.86 | |
Regence BlueShield
| Professional | $21.57 | $27.15 | $40.72 | |
United
| Professional | $15.43 | $17.09 | $17.09 |