| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.30 | $504.61 | $661.58 | |
Aetna
| Professional | $96.30 | $96.30 | $96.30 | |
Cigna
| Facility | $91.46 | $94.06 | $294.82 | |
Cigna
| Professional | $128.40 | $128.40 | $128.40 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $107.00 | $123.05 | $433.35 | |
Regence BlueShield
| Professional | $107.00 | $113.26 | $133.66 | |
United
| Professional | $44.94 | $44.94 | $107.00 |