| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.08 | $88.08 | $195.66 | |
Aetna
| Professional | $88.08 | $88.08 | $325.70 | |
Cigna
| Facility | $48.76 | $50.15 | $157.18 | |
Cigna
| Professional | $54.04 | $68.45 | $319.89 | |
Regence BlueShield
| Facility | $57.04 | $65.59 | $231.01 | |
Regence BlueShield
| Professional | $59.43 | $63.18 | $442.75 | |
United
| Professional | $23.96 | $23.96 | $34.22 |