| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.94 | $15.94 | $15.94 | |
Aetna
| Professional | $15.93 | $24.05 | $95.70 | |
Cigna
| Professional | $13.54 | $13.54 | $13.54 | |
Molina
| Professional | $27.01 | $37.93 | $60.00 | |
Regence BlueShield
| Professional | $18.45 | $23.23 | $23.23 | |
United
| Professional | $11.02 | $14.06 | $22.81 |