| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.75 | $10.75 | $10.75 | |
Aetna
| Professional | $4.84 | $10.75 | $23.35 | |
Cigna
| Professional | $3.30 | $3.30 | $3.30 | |
Molina
| Professional | $6.60 | $8.17 | $60.00 | |
Regence BlueShield
| Professional | $4.51 | $5.66 | $5.66 | |
United
| Professional | $2.69 | $3.43 | $5.72 |