| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.45 | $124.47 | $160.77 | |
Aetna
| Professional | $85.45 | $165.77 | $666.00 | |
Cigna
| Facility | $175.00 | $175.00 | $175.00 | |
Cigna
| Professional | $127.75 | $175.00 | $244.34 | |
Molina
| Professional | $135.89 | $219.18 | $284.93 | |
Regence BlueShield
| Facility | $262.89 | $293.20 | $293.20 | |
Regence BlueShield
| Professional | $166.96 | $210.17 | $315.25 | |
United
| Professional | $101.69 | $132.35 | $169.47 |