| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.56 | $14.56 | $14.56 | |
Aetna
| Professional | $14.17 | $15.30 | $68.15 | |
Cigna
| Professional | $9.63 | $9.63 | $9.63 | |
Molina
| Professional | $19.21 | $21.00 | $60.00 | |
Regence BlueShield
| Professional | $13.13 | $16.53 | $16.53 | |
United
| Professional | $7.84 | $10.01 | $12.04 |