| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.11 | $36.11 | $36.11 | |
Aetna
| Professional | $31.19 | $36.11 | $264.45 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $55.62 | |
Molina
| Professional | $14.73 | $21.07 | $60.00 | |
Regence BlueShield
| Facility | $37.58 | $37.58 | $50.82 | |
Regence BlueShield
| Professional | $27.09 | $33.67 | $53.93 | |
United
| Professional | $29.56 | $41.86 | $42.69 |