| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.07 | $131.37 | $172.23 | |
Aetna
| Professional | $14.76 | $20.07 | $25.07 | |
Cigna
| Facility | $21.46 | $22.07 | $69.18 | |
Cigna
| Professional | $30.12 | $30.12 | $30.12 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $25.10 | $28.87 | $112.79 | |
Regence BlueShield
| Professional | $24.42 | $28.68 | $30.84 | |
United
| Professional | $10.54 | $11.70 | $15.06 |