| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.26 | $12.26 | $12.26 | |
Aetna
| Professional | $12.26 | $21.82 | $97.16 | |
Cigna
| Professional | $13.74 | $13.74 | $13.74 | |
Molina
| Professional | $27.39 | $29.94 | $60.00 | |
Regence BlueShield
| Professional | $18.73 | $23.58 | $23.58 | |
United
| Professional | $11.18 | $14.28 | $23.80 |