| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.76 | $27.76 | $37.29 | |
Aetna
| Professional | $27.76 | $51.75 | $331.52 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $77.81 | $93.41 | |
Molina
| Professional | $39.15 | $62.91 | $81.78 | |
Regence BlueShield
| Facility | $75.45 | $84.16 | $84.16 | |
Regence BlueShield
| Professional | $47.92 | $60.33 | $90.49 | |
United
| Professional | $33.65 | $43.00 | $54.55 |