| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.13 | $104.13 | $231.33 | |
Aetna
| Professional | $104.13 | $104.13 | $104.13 | |
Cigna
| Facility | $50.00 | $51.42 | $161.16 | |
Cigna
| Professional | $26.94 | $62.78 | $107.24 | |
Regence BlueShield
| Facility | $58.49 | $67.26 | $236.88 | |
Regence BlueShield
| Professional | $57.52 | $63.20 | $70.22 | |
United
| Professional | $24.57 | $24.57 | $35.09 |