| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.60 | $450.90 | $758.92 | |
Aetna
| Professional | $17.34 | $20.60 | $27.63 | |
Cigna
| Facility | $22.29 | $22.92 | $71.84 | |
Cigna
| Professional | $12.15 | $30.15 | $37.69 | |
Regence BlueShield
| Facility | $26.07 | $29.98 | $105.58 | |
Regence BlueShield
| Professional | $19.95 | $21.16 | $29.92 | |
United
| Professional | $10.95 | $11.07 | $15.64 |