| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.56 | $43.56 | $43.56 | |
Aetna
| Professional | $43.56 | $47.89 | $426.46 | |
Cigna
| Facility | $88.93 | $98.15 | $98.15 | |
Cigna
| Professional | $71.65 | $98.15 | $104.64 | |
Molina
| Professional | $69.28 | $111.75 | $145.27 | |
Regence BlueShield
| Facility | $134.04 | $149.49 | $149.49 | |
Regence BlueShield
| Professional | $85.13 | $107.16 | $160.72 | |
United
| Professional | $60.93 | $67.48 | $96.57 |