| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.53 | $103.53 | $229.98 | |
Aetna
| Professional | $103.53 | $103.53 | $103.53 | |
Cigna
| Facility | $33.60 | $34.56 | $108.31 | |
Cigna
| Professional | $18.12 | $42.24 | $71.89 | |
Regence BlueShield
| Facility | $39.31 | $45.21 | $159.21 | |
Regence BlueShield
| Professional | $40.96 | $43.55 | $259.27 | |
United
| Professional | $16.51 | $16.51 | $23.59 |