| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.46 | $58.46 | $129.87 | |
Aetna
| Professional | $58.46 | $58.46 | $58.46 | |
Cigna
| Facility | $43.66 | $44.90 | $140.72 | |
Cigna
| Professional | $23.41 | $55.03 | $93.46 | |
Regence BlueShield
| Facility | $51.07 | $58.73 | $206.83 | |
Regence BlueShield
| Professional | $53.22 | $56.59 | $588.33 | |
United
| Professional | $21.45 | $21.45 | $30.64 |