| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.11 | $14.11 | $14.11 | |
Aetna
| Professional | $14.11 | $19.71 | $168.57 | |
Cigna
| Facility | $29.97 | $35.00 | $35.00 | |
Cigna
| Professional | $25.55 | $35.00 | $37.31 | |
Molina
| Professional | $27.03 | $33.09 | $43.01 | |
Regence BlueShield
| Facility | $39.54 | $44.10 | $44.10 | |
Regence BlueShield
| Professional | $25.10 | $31.61 | $47.42 | |
United
| Professional | $19.73 | $21.86 | $31.36 |