| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.23 | $27.23 | $56.66 | |
Aetna
| Professional | $21.57 | $46.98 | $68.36 | |
Cigna
| Professional | $28.03 | $57.14 | $85.97 | |
Molina
| Professional | $23.65 | $29.37 | $37.72 | |
Regence BlueShield
| Facility | $56.00 | $76.04 | $110.81 | |
Regence BlueShield
| Professional | $26.40 | $56.69 | $121.50 | |
United
| Professional | $44.33 | $56.05 | $84.87 |