| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.95 | $58.95 | $58.95 | |
Aetna
| Professional | $37.31 | $53.38 | $83.11 | |
Cigna
| Facility | $72.00 | $72.00 | $75.00 | |
Cigna
| Professional | $35.65 | $52.15 | $92.15 | |
Molina
| Professional | $47.91 | $61.16 | $72.23 | |
Regence BlueShield
| Facility | $88.25 | $99.49 | $126.88 | |
Regence BlueShield
| Professional | $66.93 | $77.89 | $80.98 | |
United
| Professional | $51.23 | $60.27 | $67.59 |