| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.44 | $38.00 | $38.00 | |
Aetna
| Professional | $32.44 | $60.49 | $307.00 | |
Cigna
| Facility | $68.22 | $68.22 | $73.06 | |
Cigna
| Professional | $49.80 | $68.22 | $73.06 | |
Molina
| Professional | $45.74 | $73.51 | $95.56 | |
Regence BlueShield
| Facility | $88.18 | $98.34 | $98.34 | |
Regence BlueShield
| Professional | $56.00 | $70.48 | $105.74 | |
United
| Professional | $38.60 | $49.79 | $59.00 |