| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.40 | $72.40 | $72.40 | |
Aetna
| Professional | $62.41 | $68.66 | $78.02 | |
Cigna
| Facility | $69.65 | $78.64 | $114.56 | |
Cigna
| Professional | $62.41 | $62.41 | $62.41 | |
Molina
| Professional | $30.00 | $45.00 | $109.55 | |
Regence BlueShield
| Professional | $61.79 | $68.66 | $68.66 | |
United
| Professional | $62.41 | $62.41 | $62.41 |