| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.69 | $325.06 | $758.95 | |
Aetna
| Professional | $2.69 | $2.69 | $392.46 | |
Cigna
| Professional | $2.75 | $2.75 | $2.75 | |
Molina
| Professional | $18.44 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $12.34 | $17.07 | $24.51 | |
United
| Professional | $2.70 | $2.70 | $2.70 |