| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.16 | $72.05 | $78.58 | |
Aetna
| Professional | $72.00 | $109.38 | $425.00 | |
Cigna
| Facility | $118.47 | $120.81 | $120.81 | |
Cigna
| Professional | $88.19 | $120.81 | $128.79 | |
Molina
| Professional | $60.00 | $140.97 | $183.27 | |
Regence BlueShield
| Facility | $169.10 | $188.59 | $188.59 | |
Regence BlueShield
| Professional | $107.39 | $135.18 | $202.78 | |
United
| Professional | $66.66 | $85.13 | $102.38 |