| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.97 | $340.44 | $446.34 | |
Aetna
| Professional | $47.65 | $54.14 | $76.52 | |
Cigna
| Facility | $61.70 | $63.46 | $198.89 | |
Cigna
| Professional | $31.17 | $83.01 | $103.77 | |
Molina
| Professional | $55.55 | $55.55 | $55.55 | |
Regence BlueShield
| Facility | $72.19 | $83.02 | $292.37 | |
Regence BlueShield
| Professional | $55.26 | $58.87 | $83.39 | |
United
| Professional | $30.32 | $30.32 | $43.31 |