| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.72 | $632.57 | $829.35 | |
Aetna
| Professional | $120.72 | $120.72 | $120.72 | |
Cigna
| Facility | $114.64 | $117.91 | $369.56 | |
Cigna
| Professional | $160.96 | $160.96 | $160.96 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $134.13 | $154.25 | $244.12 | |
Regence BlueShield
| Professional | $134.13 | $139.80 | $167.51 | |
United
| Professional | $56.33 | $56.33 | $80.48 |