| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.50 | $77.50 | $172.16 | |
Aetna
| Professional | $77.50 | $77.50 | $77.50 | |
Cigna
| Facility | $55.85 | $57.44 | $180.03 | |
Cigna
| Professional | $51.92 | $67.73 | $119.82 | |
Regence BlueShield
| Facility | $65.34 | $75.14 | $264.63 | |
Regence BlueShield
| Professional | $61.91 | $70.38 | $78.20 | |
United
| Professional | $25.01 | $27.44 | $39.20 |