| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.35 | $9.35 | $9.35 | |
Aetna
| Professional | $9.35 | $14.25 | $33.90 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
Molina
| Professional | $20.32 | $22.21 | $60.00 | |
Regence BlueShield
| Professional | $13.89 | $17.48 | $17.48 | |
United
| Professional | $8.28 | $10.59 | $17.64 |