| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.00 | $18.00 | $770.66 | |
Aetna
| Professional | $18.00 | $20.56 | $189.64 | |
Cigna
| Facility | $39.47 | $39.47 | $48.77 | |
Cigna
| Professional | $33.56 | $39.47 | $76.13 | |
Molina
| Professional | $38.58 | $47.98 | $62.37 | |
Regence BlueShield
| Professional | $36.54 | $46.01 | $69.02 | |
United
| Professional | $21.82 | $27.87 | $33.52 |