| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.60 | $45.60 | $45.60 | |
Aetna
| Professional | $43.90 | $57.01 | $64.91 | |
Cigna
| Professional | $87.15 | $93.02 | $111.44 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $56.64 | $67.18 | $74.68 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $42.56 | $55.86 | $78.94 |