| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.78 | $72.88 | $104.55 | |
Aetna
| Professional | $43.81 | $75.34 | $209.33 | |
Aetna
| Professional | 25 | $50.78 | $81.63 | $208.23 |
Cigna
| Facility | $94.71 | $120.00 | $183.00 | |
Cigna
| Professional | $57.13 | $78.09 | $131.52 | |
Molina
| Professional | $47.35 | $61.32 | $77.63 | |
Regence BlueShield
| Professional | $50.11 | $78.33 | $114.22 | |
United
| Professional | $62.06 | $83.06 | $122.43 |