| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.85 | $533.69 | $699.71 | |
Aetna
| Professional | $101.85 | $101.85 | $101.85 | |
Cigna
| Facility | $78.34 | $80.58 | $252.56 | |
Cigna
| Professional | $109.99 | $109.99 | $109.99 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $91.66 | $105.41 | $412.49 | |
Regence BlueShield
| Professional | $92.63 | $105.32 | $125.38 | |
United
| Professional | $38.50 | $47.53 | $55.00 |