| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.30 | $83.30 | $185.04 | |
Aetna
| Professional | $83.30 | $83.30 | $83.30 | |
Cigna
| Facility | $31.30 | $32.19 | $100.89 | |
Cigna
| Professional | $16.84 | $39.14 | $67.09 | |
Regence BlueShield
| Facility | $36.61 | $42.11 | $148.31 | |
Regence BlueShield
| Professional | $38.17 | $40.58 | $259.27 | |
United
| Professional | $15.38 | $15.38 | $21.97 |