| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $184.34 | $184.34 | $345.11 | |
Aetna
| Professional | $184.34 | $184.34 | $486.60 | |
Cigna
| Facility | $158.91 | $195.79 | $225.16 | |
Cigna
| Professional | $151.58 | $158.91 | $189.47 | |
Molina
| Professional | $92.23 | $148.76 | $193.38 | |
Regence BlueShield
| Facility | $174.33 | $210.40 | $255.29 | |
Regence BlueShield
| Professional | $174.81 | $174.81 | $190.70 | |
United
| Professional | $150.97 | $158.91 | $158.91 |