| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.53 | $17.53 | $98.70 | |
Aetna
| Professional | $17.53 | $32.68 | $163.00 | |
Cigna
| Facility | $36.61 | $36.61 | $36.61 | |
Cigna
| Professional | $26.73 | $36.61 | $39.03 | |
Molina
| Professional | $32.57 | $39.72 | $51.83 | |
Regence BlueShield
| Facility | $47.65 | $53.14 | $53.14 | |
Regence BlueShield
| Professional | $30.26 | $38.09 | $57.14 | |
United
| Professional | $21.26 | $26.90 | $32.65 |