| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.46 | $48.13 | $48.13 | |
Aetna
| Professional | $33.46 | $38.65 | $399.64 | |
Cigna
| Facility | $67.20 | $67.20 | $77.70 | |
Cigna
| Professional | $49.06 | $67.20 | $77.70 | |
Molina
| Professional | $21.80 | $26.62 | $35.93 | |
Regence BlueShield
| Facility | $47.47 | $47.47 | $66.19 | |
Regence BlueShield
| Professional | $34.22 | $42.53 | $73.72 | |
United
| Professional | $32.58 | $51.37 | $51.83 |