| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.03 | $152.03 | $152.03 | |
Aetna
| Professional | $152.03 | $152.03 | $152.03 | |
Cigna
| Facility | $92.43 | $113.03 | $357.81 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $133.81 | $172.29 | $251.08 | |
Regence BlueShield
| Professional | $35.51 | $201.13 | $232.33 | |
United
| Professional | $151.01 | $168.54 | $280.20 |