| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.58 | $112.37 | $395.82 | |
Aetna
| Professional | $50.58 | $50.58 | $50.58 | |
Cigna
| Facility | $56.15 | $57.75 | $181.01 | |
Cigna
| Professional | $58.48 | $69.84 | $120.42 | |
Regence BlueShield
| Facility | $65.69 | $75.54 | $266.04 | |
Regence BlueShield
| Professional | $69.79 | $74.19 | $87.83 | |
United
| Professional | $27.59 | $28.19 | $39.40 |