| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.13 | $6.13 | $6.13 | |
Aetna
| Professional | $6.13 | $12.70 | $28.00 | |
Cigna
| Professional | $5.92 | $5.92 | $5.92 | |
Molina
| Professional | $11.80 | $12.90 | $60.00 | |
Regence BlueShield
| Professional | $8.06 | $10.15 | $10.15 | |
United
| Professional | $4.82 | $6.15 | $9.96 |