| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.06 | $77.06 | $171.19 | |
Aetna
| Professional | $77.06 | $77.06 | $77.06 | |
Cigna
| Facility | $80.98 | $83.29 | $261.04 | |
Cigna
| Professional | $89.76 | $109.67 | $173.14 | |
Regence BlueShield
| Facility | $94.74 | $108.95 | $413.14 | |
Regence BlueShield
| Professional | $102.35 | $130.21 | $163.90 | |
United
| Professional | $39.79 | $56.84 | $56.84 |