| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.41 | $69.41 | $154.19 | |
Aetna
| Professional | $69.41 | $69.41 | $69.41 | |
Cigna
| Facility | $93.27 | $95.93 | $300.67 | |
Cigna
| Professional | $103.42 | $130.19 | $199.50 | |
Regence BlueShield
| Facility | $109.13 | $125.50 | $491.10 | |
Regence BlueShield
| Professional | $117.78 | $154.78 | $192.04 | |
United
| Professional | $45.83 | $62.53 | $65.48 |