| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.85 | $66.72 | $66.72 | |
Aetna
| Professional | $36.10 | $46.85 | $66.72 | |
Cigna
| Professional | $50.85 | $65.94 | $113.40 | |
Molina
| Professional | $47.35 | $61.47 | $78.15 | |
Regence BlueShield
| Facility | $149.41 | $186.30 | $267.47 | |
Regence BlueShield
| Professional | $44.20 | $67.78 | $112.52 | |
United
| Professional | $44.48 | $62.00 | $88.66 |