| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.47 | $159.66 | $209.33 | |
Aetna
| Professional | $30.47 | $30.47 | $30.47 | |
Cigna
| Facility | $28.94 | $29.77 | $93.30 | |
Cigna
| Professional | $40.63 | $40.63 | $40.63 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $33.86 | $38.94 | $137.13 | |
Regence BlueShield
| Professional | $33.86 | $35.84 | $42.30 | |
United
| Professional | $14.22 | $14.22 | $20.32 |