| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.72 | $133.72 | $297.02 | |
Aetna
| Professional | $133.72 | $133.72 | $133.72 | |
Cigna
| Facility | $40.17 | $41.32 | $129.50 | |
Cigna
| Professional | $21.65 | $50.38 | $86.27 | |
Regence BlueShield
| Facility | $47.00 | $54.05 | $190.35 | |
Regence BlueShield
| Professional | $48.99 | $52.08 | $259.38 | |
United
| Professional | $19.73 | $19.73 | $28.20 |