| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.44 | $149.03 | $195.38 | |
Aetna
| Professional | $20.86 | $25.28 | $36.97 | |
Cigna
| Facility | $27.01 | $27.78 | $87.07 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Facility | $32.54 | $36.34 | $37.92 | |
Regence BlueShield
| Professional | $24.19 | $24.75 | $26.88 | |
United
| Professional | $13.27 | $13.27 | $18.96 |