| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.17 | $61.17 | $135.87 | |
Aetna
| Professional | $61.17 | $61.17 | $61.17 | |
Cigna
| Facility | $52.59 | $54.09 | $169.52 | |
Cigna
| Professional | $28.22 | $65.88 | $112.63 | |
Regence BlueShield
| Facility | $61.52 | $70.75 | $249.16 | |
Regence BlueShield
| Professional | $64.11 | $68.15 | $95.51 | |
United
| Professional | $25.84 | $25.84 | $36.90 |