| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.09 | $29.09 | $29.09 | |
Aetna
| Professional | $29.09 | $29.09 | $284.68 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $90.00 | |
Molina
| Professional | $18.57 | $22.68 | $35.00 | |
Regence BlueShield
| Facility | $40.44 | $40.44 | $54.69 | |
Regence BlueShield
| Professional | $29.16 | $36.24 | $58.04 | |
United
| Professional | $28.32 | $44.65 | $64.64 |