| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.11 | $42.11 | $42.11 | |
Aetna
| Professional | $42.11 | $48.78 | $412.10 | |
Cigna
| Facility | $81.70 | $81.70 | $81.70 | |
Cigna
| Professional | $59.64 | $81.70 | $87.10 | |
Molina
| Professional | $66.99 | $108.06 | $140.47 | |
Regence BlueShield
| Facility | $129.61 | $144.55 | $144.55 | |
Regence BlueShield
| Professional | $82.31 | $103.61 | $155.41 | |
United
| Professional | $51.07 | $65.23 | $82.76 |