| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.56 | $36.56 | $36.56 | |
Aetna
| Professional | $17.54 | $23.94 | $36.56 | |
Cigna
| Professional | $21.65 | $34.71 | $49.10 | |
Molina
| Professional | $14.00 | $73.39 | $116.23 | |
Regence BlueShield
| Facility | $807.52 | $1,019.99 | $1,480.97 | |
Regence BlueShield
| Professional | $21.03 | $29.31 | $72.53 | |
United
| Professional | $17.05 | $25.63 | $41.28 |