| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.45 | $130.11 | $149.28 | |
Aetna
| Professional | $85.45 | $159.34 | $836.34 | |
Cigna
| Facility | $176.58 | $176.58 | $176.58 | |
Cigna
| Professional | $128.90 | $176.58 | $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 | $103.64 | $131.18 | $159.18 |