| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.50 | $36.50 | $36.50 | |
Aetna
| Professional | $25.00 | $37.97 | $386.91 | |
Cigna
| Facility | $70.80 | $70.80 | $74.27 | |
Cigna
| Professional | $51.68 | $51.68 | $131.25 | |
Molina
| Professional | $35.00 | $60.00 | $131.46 | |
Regence BlueShield
| Facility | $129.50 | $144.43 | $144.43 | |
Regence BlueShield
| Professional | $82.24 | $103.53 | $155.30 | |
United
| Professional | $44.26 | $56.02 | $66.39 |