| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.00 | $67.12 | $67.12 | |
Aetna
| Professional | $17.23 | $21.58 | $88.92 | |
Cigna
| Professional | $22.84 | $32.50 | $88.26 | |
Molina
| Professional | $14.14 | $55.63 | $148.97 | |
Regence BlueShield
| Facility | $186.54 | $242.20 | $352.96 | |
Regence BlueShield
| Professional | $20.66 | $37.32 | $117.66 | |
United
| Professional | $18.70 | $28.05 | $86.86 |