| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.54 | $184.54 | $184.54 | |
Aetna
| Professional | $130.40 | $150.36 | $184.54 | |
Cigna
| Professional | $147.02 | $196.99 | $315.81 | |
Molina
| Professional | $32.34 | $93.53 | $131.97 | |
Regence BlueShield
| Facility | $92.09 | $116.32 | $169.01 | |
Regence BlueShield
| Professional | $155.30 | $210.29 | $295.14 | |
United
| Professional | $126.17 | $177.05 | $250.46 |