| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.75 | $4.75 | $4.75 | |
Aetna
| Professional | $4.75 | $8.10 | $36.04 | |
Cigna
| Professional | $5.09 | $5.09 | $5.09 | |
Molina
| Professional | $10.18 | $12.60 | $60.00 | |
Regence BlueShield
| Professional | $6.95 | $8.74 | $8.74 | |
United
| Professional | $4.15 | $5.30 | $8.59 |