| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.06 | $98.06 | $98.06 | |
Aetna
| Professional | $98.06 | $113.61 | $959.87 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $227.96 | $234.80 | |
Molina
| Professional | $155.94 | $251.52 | $326.97 | |
Regence BlueShield
| Facility | $301.68 | $336.46 | $336.46 | |
Regence BlueShield
| Professional | $191.58 | $241.18 | $361.77 | |
United
| Professional | $116.70 | $150.54 | $178.40 |