| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.55 | $27.55 | $27.55 | |
Aetna
| Professional | $27.55 | $28.17 | $31.55 | |
Cigna
| Professional | $44.36 | $44.36 | $44.36 | |
Molina
| Professional | $23.65 | $29.37 | $37.72 | |
Regence BlueShield
| Facility | $437.82 | $595.13 | $867.27 | |
Regence BlueShield
| Professional | $34.68 | $47.07 | $60.99 | |
United
| Professional | $24.48 | $32.68 | $49.28 |