| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.52 | $33.52 | $33.52 | |
Aetna
| Professional | $33.52 | $33.52 | $33.52 | |
Cigna
| Facility | $30.00 | $30.85 | $96.69 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Molina
| Professional | $45.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $35.09 | $40.35 | $157.91 | |
Regence BlueShield
| Professional | $35.46 | $39.49 | $43.99 | |
United
| Professional | $14.74 | $20.22 | $21.05 |