| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.50 | $117.90 | $154.58 | |
Aetna
| Professional | $22.50 | $22.50 | $22.50 | |
Cigna
| Facility | $21.37 | $21.98 | $68.88 | |
Cigna
| Professional | $30.00 | $30.00 | $30.00 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $25.00 | $28.75 | $101.25 | |
Regence BlueShield
| Professional | $25.00 | $26.47 | $31.30 | |
United
| Professional | $10.50 | $10.50 | $15.00 |