| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.93 | $38.50 | $38.50 | |
Aetna
| Professional | $33.00 | $63.25 | $258.00 | |
Cigna
| Facility | $65.81 | $65.81 | $383.66 | |
Cigna
| Professional | $48.04 | $65.81 | $71.19 | |
Molina
| Professional | $54.13 | $87.00 | $113.10 | |
Regence BlueShield
| Facility | $104.35 | $116.38 | $116.38 | |
Regence BlueShield
| Professional | $66.28 | $83.42 | $125.13 | |
United
| Professional | $40.38 | $52.08 | $63.20 |