| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.00 | $120.00 | $120.00 | |
Aetna
| Professional | $42.29 | $50.97 | $120.00 | |
Cigna
| Professional | $49.33 | $65.94 | $90.64 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $230.97 | $296.17 | $431.61 | |
Regence BlueShield
| Professional | $53.47 | $62.90 | $100.17 | |
United
| Professional | $40.89 | $53.17 | $79.05 |