| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.92 | $20.92 | $20.92 | |
Aetna
| Professional | $17.27 | $20.18 | $24.18 | |
Cigna
| Professional | $19.05 | $24.92 | $35.94 | |
Molina
| Professional | $23.65 | $29.46 | $37.72 | |
Regence BlueShield
| Facility | $196.56 | $250.64 | $365.26 | |
Regence BlueShield
| Professional | $20.18 | $22.95 | $27.89 | |
United
| Professional | $17.36 | $22.40 | $33.04 |