| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.68 | $49.68 | $110.38 | |
Aetna
| Professional | $49.68 | $49.68 | $49.68 | |
Cigna
| Facility | $75.39 | $77.54 | $243.02 | |
Cigna
| Professional | $40.56 | $94.55 | $161.16 | |
Regence BlueShield
| Facility | $88.20 | $101.43 | $357.21 | |
Regence BlueShield
| Professional | $88.20 | $97.43 | $105.74 | |
United
| Professional | $37.04 | $37.04 | $52.92 |