| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.32 | $33.32 | $33.32 | |
Aetna
| Professional | $33.32 | $51.99 | $326.32 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $47.20 | $64.66 | $94.95 | |
Molina
| Professional | $53.18 | $85.46 | $111.09 | |
Regence BlueShield
| Facility | $102.51 | $114.33 | $114.33 | |
Regence BlueShield
| Professional | $65.09 | $81.95 | $122.92 | |
United
| Professional | $40.42 | $51.62 | $84.83 |