| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.72 | $105.88 | $105.88 | |
Aetna
| Professional | $35.72 | $66.64 | $422.30 | |
Cigna
| Facility | $84.33 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $88.85 | $94.72 | |
Molina
| Professional | $51.67 | $83.05 | $107.96 | |
Regence BlueShield
| Facility | $99.60 | $111.09 | $111.09 | |
Regence BlueShield
| Professional | $63.25 | $79.63 | $119.45 | |
United
| Professional | $42.53 | $54.86 | $66.56 |