| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.52 | $41.52 | $41.52 | |
Aetna
| Professional | $33.59 | $44.59 | $50.48 | |
Cigna
| Professional | $64.00 | $70.62 | $76.68 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $41.42 | $56.46 | $82.27 | |
Regence BlueShield
| Professional | $49.22 | $57.90 | $61.54 | |
United
| Professional | $36.29 | $48.00 | $68.89 |