| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.48 | $252.46 | $881.90 | |
Aetna
| Professional | $121.23 | $128.37 | $211.93 | |
Cigna
| Facility | $121.91 | $125.39 | $393.00 | |
Cigna
| Professional | $65.58 | $158.49 | $261.20 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $142.63 | $164.02 | $577.65 | |
Regence BlueShield
| Professional | $128.41 | $144.13 | $170.77 | |
United
| Professional | $59.90 | $85.58 | $85.58 |