| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.03 | $27.03 | $27.03 | |
Aetna
| Professional | $27.03 | $42.17 | $264.45 | |
Cigna
| Facility | $58.60 | $58.60 | $58.60 | |
Cigna
| Professional | $42.78 | $58.60 | $62.47 | |
Molina
| Professional | $43.21 | $69.44 | $90.27 | |
Regence BlueShield
| Facility | $83.29 | $92.89 | $92.89 | |
Regence BlueShield
| Professional | $52.89 | $66.58 | $99.88 | |
United
| Professional | $32.78 | $41.86 | $42.60 |