| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.83 | $253.39 | $649.00 | |
Aetna
| Professional | $40.39 | $56.40 | $64.65 | |
Cigna
| Facility | $53.11 | $54.63 | $171.21 | |
Cigna
| Professional | $34.59 | $71.45 | $89.31 | |
Regence BlueShield
| Facility | $62.14 | $71.45 | $261.83 | |
Regence BlueShield
| Professional | $47.57 | $50.73 | $71.81 | |
United
| Professional | $26.10 | $33.52 | $37.28 |