| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.06 | $107.59 | $199.64 | |
Aetna
| Professional | $20.69 | $24.38 | $32.71 | |
Cigna
| Facility | $26.38 | $27.13 | $85.03 | |
Cigna
| Professional | $14.49 | $35.52 | $44.40 | |
Regence BlueShield
| Facility | $30.86 | $35.49 | $124.98 | |
Regence BlueShield
| Professional | $23.63 | $25.23 | $35.51 | |
United
| Professional | $12.96 | $13.56 | $18.52 |