| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.07 | $55.54 | $69.06 | |
Aetna
| Professional | $46.07 | $78.47 | $517.38 | |
Cigna
| Facility | $115.38 | $115.38 | $141.93 | |
Cigna
| Professional | $84.23 | $115.38 | $141.93 | |
Molina
| Professional | $67.25 | $108.47 | $141.01 | |
Regence BlueShield
| Facility | $130.10 | $145.10 | $145.10 | |
Regence BlueShield
| Professional | $82.63 | $104.01 | $156.01 | |
United
| Professional | $55.87 | $71.36 | $83.81 |