| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.00 | $36.00 | $93.29 | |
Aetna
| Professional | $36.00 | $51.69 | $79.26 | |
Cigna
| Facility | $58.91 | $60.59 | $189.91 | |
Cigna
| Professional | $79.30 | $79.30 | $99.12 | |
Regence BlueShield
| Facility | $68.92 | $79.26 | $302.41 | |
Regence BlueShield
| Professional | $52.76 | $56.16 | $79.40 | |
United
| Professional | $28.95 | $34.03 | $41.35 |