| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.12 | $88.12 | $88.12 | |
Aetna
| Professional | $88.12 | $124.58 | $1,052.52 | |
Cigna
| Facility | $170.96 | $170.96 | $170.96 | |
Cigna
| Professional | $124.80 | $124.80 | $329.25 | |
Molina
| Professional | $129.63 | $209.09 | $271.81 | |
Regence BlueShield
| Facility | $250.79 | $279.70 | $279.70 | |
Regence BlueShield
| Professional | $159.26 | $200.49 | $300.73 | |
United
| Professional | $104.87 | $136.49 | $174.77 |