| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.00 | $707.40 | $927.45 | |
Aetna
| Professional | $135.00 | $135.00 | $135.00 | |
Cigna
| Facility | $128.21 | $131.87 | $413.30 | |
Cigna
| Professional | $180.00 | $180.00 | $180.00 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $150.00 | $172.50 | $607.50 | |
Regence BlueShield
| Professional | $150.00 | $158.80 | $187.39 | |
United
| Professional | $63.00 | $63.00 | $90.00 |