| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.87 | $274.02 | $641.29 | |
Aetna
| Professional | $15.73 | $16.37 | $27.73 | |
Cigna
| Facility | $20.61 | $21.19 | $66.43 | |
Cigna
| Professional | $11.38 | $28.08 | $35.11 | |
Regence BlueShield
| Facility | $24.11 | $27.73 | $97.65 | |
Regence BlueShield
| Professional | $18.46 | $19.54 | $27.93 | |
United
| Professional | $10.13 | $10.13 | $14.47 |