| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $120.00 | $160.00 | |
Cigna
| Facility | $33.22 | $33.22 | $33.22 | |
Cigna
| Professional | $24.25 | $33.22 | $35.40 | |
Molina
| Professional | $35.00 | $50.98 | $60.00 | |
Regence BlueShield
| Facility | $50.21 | $56.00 | $56.00 | |
Regence BlueShield
| Professional | $31.88 | $40.14 | $60.21 | |
United
| Professional | $19.79 | $25.27 | $29.68 |