| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.28 | $41.28 | $108.43 | |
Aetna
| Professional | $38.00 | $60.05 | $264.26 | |
Cigna
| Facility | $60.32 | $61.21 | $61.21 | |
Cigna
| Professional | $44.68 | $61.21 | $65.25 | |
Molina
| Professional | $43.56 | $70.01 | $91.01 | |
Regence BlueShield
| Facility | $83.97 | $93.65 | $93.65 | |
Regence BlueShield
| Professional | $53.33 | $67.13 | $100.70 | |
United
| Professional | $37.46 | $47.84 | $56.19 |