| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.00 | $59.24 | $68.67 | |
Aetna
| Professional | $28.97 | $56.20 | $236.00 | |
Cigna
| Facility | $56.94 | $58.00 | $58.00 | |
Cigna
| Professional | $42.34 | $58.00 | $61.83 | |
Molina
| Professional | $40.85 | $65.65 | $85.34 | |
Regence BlueShield
| Facility | $78.75 | $87.83 | $87.83 | |
Regence BlueShield
| Professional | $50.01 | $62.95 | $94.43 | |
United
| Professional | $35.13 | $44.47 | $53.96 |