| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.00 | $135.00 | $349.87 | |
Aetna
| Professional | $41.10 | $45.54 | $135.00 | |
Cigna
| Facility | $47.47 | $48.82 | $153.03 | |
Cigna
| Professional | $64.02 | $64.02 | $80.02 | |
Regence BlueShield
| Facility | $55.54 | $63.87 | $224.94 | |
Regence BlueShield
| Professional | $42.52 | $45.31 | $63.84 | |
United
| Professional | $23.33 | $23.33 | $33.32 |