| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.06 | $22.06 | $22.06 | |
Aetna
| Professional | $17.52 | $22.06 | $156.01 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $35.59 | $62.63 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $47.35 | $52.81 | $52.81 | |
Regence BlueShield
| Professional | $37.86 | $37.86 | $56.78 | |
United
| Professional | $19.01 | $24.28 | $38.10 |