| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.80 | $19.80 | $35.08 | |
Aetna
| Professional | $15.94 | $28.61 | $44.10 | |
Cigna
| Professional | $21.03 | $37.25 | $71.37 | |
Molina
| Professional | $23.09 | $29.46 | $38.62 | |
Regence BlueShield
| Facility | $94.41 | $125.30 | $219.45 | |
Regence BlueShield
| Professional | $20.37 | $37.57 | $56.65 | |
United
| Professional | $29.29 | $40.40 | $57.29 |