| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.36 | $33.36 | $33.36 | |
Aetna
| Professional | $14.40 | $24.92 | $33.36 | |
Cigna
| Facility | $72.00 | $72.00 | $75.00 | |
Cigna
| Professional | $25.71 | $57.43 | $114.34 | |
Molina
| Professional | $22.92 | $28.95 | $35.74 | |
Regence BlueShield
| Facility | $42.83 | $48.55 | $61.61 | |
Regence BlueShield
| Professional | $37.78 | $43.35 | $47.96 | |
United
| Professional | $30.24 | $33.65 | $35.72 |