| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $20.00 | |
Aetna
| Professional | $17.30 | $20.00 | $469.10 | |
Cigna
| Professional | $11.64 | $71.43 | $588.90 | |
Molina
| Professional | $269.86 | $346.72 | $440.17 | |
Regence BlueShield
| Facility | $297.07 | $379.59 | $553.17 | |
Regence BlueShield
| Professional | $20.28 | $27.72 | $545.28 | |
United
| Professional | $75.95 | $296.87 | $384.37 |