| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $37.29 | $138.13 | |
Aetna
| Professional | $11.48 | $13.64 | $20.72 | |
Cigna
| Facility | $14.77 | $15.19 | $47.60 | |
Cigna
| Professional | $7.64 | $19.82 | $24.78 | |
Molina
| Professional | $17.27 | $17.27 | $17.27 | |
Regence BlueShield
| Facility | $17.27 | $19.86 | $69.94 | |
Regence BlueShield
| Professional | $13.22 | $14.11 | $19.95 | |
United
| Professional | $7.25 | $7.25 | $10.36 |