| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $8.57 | $8.57 | $8.57 | |
Cigna
| Professional | $8.57 | $8.57 | $8.57 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Facility | $11.64 | $11.64 | $12.93 | |
Regence BlueShield
| Professional | $20.00 | $20.00 | $25.00 | |
United
| Professional | $17.82 | $22.52 | $22.52 |