| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Cigna
| Facility | $45.00 | $60.00 | $60.00 | |
Cigna
| Professional | $41.91 | $52.39 | $68.75 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $48.00 | $48.00 | $85.00 |