| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.48 | $17.48 | $17.48 | |
Aetna
| Professional | $17.48 | $24.00 | $63.00 | |
Cigna
| Professional | $10.49 | $10.49 | $10.49 | |
Molina
| Professional | $20.93 | $29.40 | $60.00 | |
Regence BlueShield
| Professional | $14.30 | $18.00 | $18.00 | |
United
| Professional | $8.53 | $10.91 | $18.18 |