| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.00 | $59.64 | $174.21 | |
Aetna
| Professional | $36.54 | $49.95 | $88.03 | |
Cigna
| Professional | $49.26 | $67.34 | $104.00 | |
Molina
| Professional | $47.18 | $61.01 | $75.03 | |
Regence BlueShield
| Facility | $149.41 | $186.30 | $267.47 | |
Regence BlueShield
| Professional | $75.11 | $105.95 | $138.16 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $47.56 | $63.96 | $84.64 |