| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.31 | $67.61 | $87.31 | |
Aetna
| Professional | $67.31 | $130.61 | $526.00 | |
Cigna
| Facility | $130.59 | $130.59 | $130.59 | |
Cigna
| Professional | $95.33 | $130.59 | $195.80 | |
Molina
| Professional | $107.05 | $172.67 | $224.47 | |
Regence BlueShield
| Facility | $207.11 | $230.98 | $230.98 | |
Regence BlueShield
| Professional | $131.54 | $165.56 | $248.35 | |
United
| Professional | $81.64 | $104.27 | $133.51 |