| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.02 | $11.02 | $11.02 | |
Aetna
| Professional | $11.02 | $12.76 | $107.78 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $15.61 | $21.38 | $22.78 | |
Molina
| Professional | $31.51 | $35.00 | $60.00 | |
Regence BlueShield
| Facility | $33.90 | $37.82 | $37.82 | |
Regence BlueShield
| Professional | $21.53 | $27.11 | $40.67 | |
United
| Professional | $13.36 | $17.05 | $17.37 |