| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.10 | $246.26 | $384.95 | |
Aetna
| Professional | $29.96 | $59.08 | $90.59 | |
Cigna
| Facility | $67.33 | $69.25 | $217.04 | |
Cigna
| Professional | $17.92 | $90.86 | $113.58 | |
Regence BlueShield
| Facility | $78.77 | $90.59 | $319.02 | |
Regence BlueShield
| Professional | $60.29 | $64.30 | $90.97 | |
United
| Professional | $16.77 | $33.08 | $47.26 |