| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.30 | $221.65 | $290.60 | |
Aetna
| Professional | $42.30 | $42.30 | $42.30 | |
Cigna
| Facility | $40.17 | $41.32 | $129.50 | |
Cigna
| Professional | $56.40 | $56.40 | $56.40 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $47.00 | $54.05 | $56.40 | |
Regence BlueShield
| Professional | $42.75 | $48.60 | $65.33 | |
United
| Professional | $19.73 | $19.73 | $28.20 |