| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.86 | $28.86 | $64.12 | |
Aetna
| Professional | $28.86 | $28.86 | $28.86 | |
Cigna
| Facility | $29.92 | $30.77 | $96.44 | |
Cigna
| Professional | $16.03 | $37.59 | $64.09 | |
Regence BlueShield
| Facility | $35.00 | $40.25 | $141.75 | |
Regence BlueShield
| Professional | $36.47 | $38.78 | $85.45 | |
United
| Professional | $14.70 | $14.70 | $21.00 |