| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.20 | $147.77 | $193.73 | |
Aetna
| Professional | $20.68 | $23.81 | $28.20 | |
Cigna
| Facility | $26.77 | $27.54 | $86.31 | |
Cigna
| Professional | $35.93 | $35.93 | $44.91 | |
Regence BlueShield
| Facility | $31.33 | $36.03 | $57.02 | |
Regence BlueShield
| Professional | $23.99 | $24.48 | $26.65 | |
United
| Professional | $13.16 | $13.16 | $18.80 |