| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.54 | $35.54 | $75.06 | |
Aetna
| Professional | $25.53 | $45.97 | $76.31 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Molina
| Professional | $30.00 | $45.00 | $45.00 | |
Regence BlueShield
| Facility | $94.04 | $104.25 | $118.76 | |
Regence BlueShield
| Professional | $42.67 | $83.88 | $105.80 | |
United
| Professional | $54.67 | $72.15 | $103.81 |