| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.99 | $539.66 | $707.54 | |
Aetna
| Professional | $102.99 | $102.99 | $102.99 | |
Cigna
| Facility | $97.81 | $100.60 | $315.30 | |
Cigna
| Professional | $137.32 | $137.32 | $137.32 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $114.43 | $131.59 | $463.44 | |
Regence BlueShield
| Professional | $112.53 | $119.27 | $142.97 | |
United
| Professional | $48.06 | $48.06 | $68.66 |