| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $45.71 | $281.84 | |
Cigna
| Professional | $42.66 | $42.66 | $53.70 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Premera BCBS
| Professional | $66.07 | $93.33 | $114.82 | |
Regence BlueShield
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Professional | $54.95 | $70.79 | $120.23 | |
Wellpoint
| Professional | $53.70 | $53.70 | $102.33 |