| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.84 | $22.84 | $22.84 | |
Aetna
| Professional | $15.96 | $29.94 | $56.00 | |
Cigna
| Professional | $7.44 | $7.44 | $7.44 | |
Molina
| Professional | $14.83 | $20.87 | $60.00 | |
Regence BlueShield
| Professional | $10.14 | $12.76 | $12.76 | |
United
| Professional | $6.05 | $7.73 | $12.89 |