| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.30 | $83.30 | $308.41 | |
Aetna
| Professional | $83.30 | $83.30 | $83.30 | |
Cigna
| Facility | $39.83 | $40.97 | $128.40 | |
Cigna
| Professional | $21.48 | $51.15 | $85.07 | |
Regence BlueShield
| Facility | $46.60 | $53.59 | $192.62 | |
Regence BlueShield
| Professional | $50.27 | $55.86 | $107.08 | |
United
| Professional | $19.57 | $22.20 | $27.96 |