| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.51 | $10.51 | $10.51 | |
Aetna
| Professional | $10.51 | $12.00 | $104.55 | |
Cigna
| Facility | $24.26 | $24.26 | $24.26 | |
Cigna
| Professional | $17.71 | $24.26 | $42.00 | |
Molina
| Professional | $29.47 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $31.73 | $35.39 | $35.39 | |
Regence BlueShield
| Professional | $20.14 | $25.37 | $38.04 | |
United
| Professional | $12.50 | $16.27 | $23.35 |