| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.85 | $45.85 | $45.85 | |
Aetna
| Professional | $45.85 | $71.54 | $448.78 | |
Cigna
| Facility | $88.96 | $88.96 | $88.96 | |
Cigna
| Professional | $64.94 | $88.96 | $91.63 | |
Molina
| Professional | $35.00 | $60.00 | $143.22 | |
Regence BlueShield
| Facility | $141.07 | $157.33 | $157.33 | |
Regence BlueShield
| Professional | $89.59 | $112.78 | $169.17 | |
United
| Professional | $54.57 | $71.02 | $90.93 |