| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $8.58 | $9.63 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Professional | $10.81 | $10.81 | $10.81 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $16.20 | $20.20 | $29.00 |