| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.50 | $21.50 | $21.50 | |
Aetna
| Professional | $9.71 | $21.50 | $46.71 | |
Cigna
| Professional | $6.60 | $6.60 | $6.60 | |
Molina
| Professional | $13.18 | $14.41 | $60.00 | |
Regence BlueShield
| Professional | $9.00 | $11.33 | $11.33 | |
United
| Professional | $5.38 | $6.86 | $11.12 |