| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.64 | $54.64 | $54.64 | |
Aetna
| Professional | $40.59 | $58.96 | $63.00 | |
Cigna
| Professional | $84.67 | $94.12 | $101.44 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $57.91 | $67.20 | $84.60 | |
United
| Professional | $53.76 | $62.42 | $89.67 |