| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.16 | $133.16 | $133.16 | |
Aetna
| Professional | $96.41 | $110.97 | $145.57 | |
Cigna
| Professional | $124.18 | $158.61 | $234.26 | |
Molina
| Professional | $71.61 | $93.51 | $116.28 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $119.73 | $163.19 | $206.10 | |
United
| Professional | $98.98 | $141.30 | $189.33 |