| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.53 | $207.14 | $802.12 | |
Aetna
| Professional | $35.70 | $48.14 | $73.81 | |
Cigna
| Facility | $54.86 | $56.43 | $176.85 | |
Cigna
| Professional | $24.93 | $73.51 | $91.89 | |
Regence BlueShield
| Facility | $64.19 | $73.81 | $259.97 | |
Regence BlueShield
| Professional | $49.13 | $52.37 | $73.81 | |
United
| Professional | $22.85 | $26.96 | $38.51 |