| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.08 | $37.25 | $94.56 | |
Aetna
| Professional | $14.40 | $30.74 | $67.97 | |
Cigna
| Facility | $72.00 | $72.00 | $75.00 | |
Cigna
| Professional | $33.22 | $72.92 | $114.99 | |
Molina
| Professional | $46.36 | $56.66 | $68.44 | |
Regence BlueShield
| Facility | $61.40 | $68.06 | $88.45 | |
Regence BlueShield
| Professional | $49.22 | $54.86 | $60.78 | |
United
| Professional | $34.24 | $45.48 | $50.53 |