| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.64 | $17.64 | $17.64 | |
Aetna
| Professional | $9.00 | $27.52 | $172.67 | |
Cigna
| Facility | $34.22 | $34.22 | $36.71 | |
Cigna
| Professional | $24.98 | $34.22 | $36.71 | |
Molina
| Professional | $35.00 | $45.24 | $59.03 | |
Regence BlueShield
| Facility | $54.27 | $60.52 | $60.52 | |
Regence BlueShield
| Professional | $34.47 | $43.38 | $65.06 | |
United
| Professional | $21.39 | $27.32 | $32.09 |