| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.87 | $84.67 | $157.12 | |
Aetna
| Professional | $19.05 | $33.02 | $50.63 | |
Cigna
| Facility | $37.64 | $38.71 | $121.32 | |
Cigna
| Professional | $11.38 | $50.39 | $62.98 | |
Regence BlueShield
| Facility | $44.03 | $50.63 | $178.32 | |
Regence BlueShield
| Professional | $33.71 | $35.82 | $50.67 | |
United
| Professional | $10.74 | $18.48 | $26.42 |