| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $193.32 | |
Aetna
| Professional | $12.88 | $17.07 | $56.00 | |
Cigna
| Professional | $9.51 | $9.51 | $9.51 | |
Molina
| Professional | $18.98 | $20.76 | $60.00 | |
Regence BlueShield
| Professional | $12.96 | $16.32 | $16.32 | |
United
| Professional | $7.74 | $9.88 | $16.03 |