| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.00 | $180.00 | $371.18 | |
Aetna
| Professional | $102.70 | $180.00 | $198.00 | |
Cigna
| Professional | $78.91 | $78.91 | $78.91 | |
Molina
| Professional | $30.00 | $60.00 | $191.35 | |
Regence BlueShield
| Facility | $230.97 | $296.17 | $431.61 | |
Regence BlueShield
| Professional | $98.93 | $200.84 | $251.16 | |
United
| Professional | $124.33 | $217.89 | $324.04 |