| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.85 | $136.85 | $164.99 | |
Aetna
| Professional | $98.10 | $148.02 | $215.17 | |
Aetna
| Professional | 25 | $164.66 | $196.34 | $282.38 |
Cigna
| Professional | $158.18 | $200.08 | $306.52 | |
Molina
| Professional | $143.73 | $171.82 | $201.55 | |
Regence BlueShield
| Facility | $196.56 | $254.42 | $365.26 | |
Regence BlueShield
| Professional | $143.51 | $202.33 | $251.84 | |
United
| Professional | $154.24 | $192.80 | $300.27 |