| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.60 | $53.60 | $119.06 | |
Aetna
| Professional | $53.60 | $53.60 | $53.60 | |
Cigna
| Facility | $58.60 | $60.27 | $188.89 | |
Cigna
| Professional | $51.92 | $70.97 | $125.21 | |
Regence BlueShield
| Facility | $68.55 | $78.83 | $277.63 | |
Regence BlueShield
| Professional | $61.91 | $73.97 | $82.19 | |
United
| Professional | $25.01 | $28.79 | $41.13 |