| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.43 | $60.43 | $60.43 | |
Aetna
| Professional | $60.43 | $69.56 | $587.71 | |
Cigna
| Facility | $147.05 | $147.05 | $147.05 | |
Cigna
| Professional | $107.35 | $107.35 | $244.29 | |
Molina
| Professional | $95.51 | $154.06 | $200.27 | |
Regence BlueShield
| Facility | $184.78 | $206.08 | $206.08 | |
Regence BlueShield
| Professional | $117.34 | $147.72 | $221.58 | |
United
| Professional | $71.92 | $91.65 | $95.25 |