| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.09 | $34.09 | $43.79 | |
Aetna
| Professional | $32.19 | $43.79 | $63.64 | |
Aetna
| Professional | 25 | $42.71 | $42.71 | $67.55 |
Cigna
| Professional | $39.15 | $50.23 | $80.30 | |
Molina
| Professional | $47.91 | $58.08 | $67.18 | |
Regence BlueShield
| Facility | $124.00 | $171.56 | $246.30 | |
Regence BlueShield
| Professional | $45.67 | $58.42 | $73.43 | |
United
| Professional | $35.10 | $50.06 | $72.01 |