| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.66 | $23.66 | $23.66 | |
Aetna
| Professional | $17.54 | $24.43 | $26.46 | |
Cigna
| Professional | $34.86 | $34.86 | $34.86 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $24.82 | $29.62 | $35.26 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $20.70 | $25.59 | $36.82 |