| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.79 | $108.94 | $142.83 | |
Aetna
| Professional | $12.68 | $14.80 | $21.11 | |
Cigna
| Facility | $15.69 | $16.14 | $50.57 | |
Cigna
| Professional | $10.28 | $21.06 | $26.33 | |
Regence BlueShield
| Facility | $18.36 | $21.11 | $74.36 | |
Regence BlueShield
| Professional | $14.06 | $14.93 | $21.15 | |
United
| Professional | $7.71 | $9.69 | $11.02 |