| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.92 | $48.70 | $48.70 | |
Aetna
| Professional | $36.00 | $40.38 | $65.67 | |
Cigna
| Professional | $44.60 | $57.70 | $85.67 | |
Molina
| Professional | $24.84 | $32.34 | $43.66 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $43.98 | $58.73 | $75.39 | |
United
| Professional | $36.58 | $47.52 | $71.20 |