| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.00 | $125.00 | $323.95 | |
Aetna
| Professional | $35.84 | $55.66 | $125.00 | |
Cigna
| Facility | $46.42 | $47.74 | $149.63 | |
Cigna
| Professional | $62.36 | $62.36 | $77.95 | |
Regence BlueShield
| Facility | $54.30 | $62.45 | $219.92 | |
Regence BlueShield
| Professional | $41.56 | $44.23 | $62.64 | |
United
| Professional | $22.81 | $22.81 | $32.58 |