| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.30 | $710.33 | $929.51 | |
Aetna
| Professional | $135.30 | $135.30 | $135.30 | |
Cigna
| Facility | $128.49 | $132.15 | $414.19 | |
Cigna
| Professional | $69.09 | $160.97 | $274.98 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $150.33 | $172.88 | $608.84 | |
Regence BlueShield
| Professional | $135.35 | $151.91 | $180.35 | |
United
| Professional | $63.14 | $63.14 | $90.20 |