| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.54 | $90.54 | $123.01 | |
Aetna
| Professional | $38.78 | $68.48 | $123.01 | |
Cigna
| Professional | $54.01 | $89.39 | $140.60 | |
Molina
| Professional | $47.35 | $61.32 | $78.15 | |
Regence BlueShield
| Facility | $149.41 | $186.30 | $267.47 | |
Regence BlueShield
| Professional | $46.12 | $72.30 | $163.13 | |
United
| Professional | $48.60 | $82.63 | $152.19 |