| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.61 | $143.61 | $143.61 | |
Aetna
| Professional | $123.80 | $136.18 | $154.75 | |
Cigna
| Facility | $149.16 | $168.41 | $193.67 | |
Cigna
| Professional | $123.80 | $123.80 | $123.80 | |
Molina
| Professional | $30.00 | $45.00 | $270.85 | |
Regence BlueShield
| Professional | $122.56 | $136.18 | $136.18 | |
United
| Professional | $123.80 | $123.80 | $123.80 |