| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.04 | $51.31 | $351.47 | |
Aetna
| Professional | $51.31 | $51.31 | $51.31 | |
Cigna
| Facility | $43.86 | $45.11 | $141.37 | |
Cigna
| Professional | $51.31 | $51.31 | $51.31 | |
Molina
| Professional | $37.76 | $45.71 | $60.00 | |
Regence BlueShield
| Facility | $51.31 | $59.01 | $61.57 | |
Regence BlueShield
| Professional | $53.08 | $58.98 | $70.97 | |
United
| Professional | $21.55 | $21.55 | $30.79 |