| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $75.00 | |
Aetna
| Professional | $66.23 | $75.00 | $415.60 | |
Cigna
| Facility | $83.71 | $83.71 | $83.71 | |
Cigna
| Professional | $61.11 | $83.71 | $89.24 | |
Molina
| Professional | $35.00 | $60.00 | $132.65 | |
Regence BlueShield
| Facility | $130.65 | $145.71 | $145.71 | |
Regence BlueShield
| Professional | $82.96 | $104.45 | $156.66 | |
United
| Facility | $54.94 | $65.92 | $76.31 | |
United
| Professional | $51.62 | $65.92 | $77.42 |