| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.04 | $105.01 | $137.68 | |
Aetna
| Professional | $20.04 | $20.04 | $20.04 | |
Cigna
| Facility | $37.11 | $38.18 | $119.67 | |
Cigna
| Professional | $52.12 | $52.12 | $52.12 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $43.43 | $49.94 | $52.12 | |
Regence BlueShield
| Professional | $39.52 | $44.81 | $60.16 | |
United
| Professional | $18.23 | $18.23 | $26.06 |