| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.29 | $32.29 | $78.89 | |
Aetna
| Professional | $72.00 | $130.00 | $616.00 | |
Cigna
| Facility | $135.00 | $135.00 | $135.00 | |
Cigna
| Professional | $98.55 | $135.00 | $225.35 | |
Molina
| Professional | $125.44 | $202.33 | $263.02 | |
Regence BlueShield
| Facility | $242.69 | $270.66 | $270.66 | |
Regence BlueShield
| Professional | $154.12 | $194.01 | $291.02 | |
United
| Professional | $93.88 | $122.20 | $150.63 |