| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.83 | $177.27 | $410.86 | |
Aetna
| Professional | $33.83 | $39.64 | $84.00 | |
Cigna
| Facility | $30.00 | $30.85 | $96.69 | |
Cigna
| Professional | $20.88 | $41.91 | $64.09 | |
Regence BlueShield
| Facility | $35.09 | $40.35 | $157.91 | |
Regence BlueShield
| Professional | $37.71 | $41.65 | $49.19 | |
United
| Professional | $14.74 | $20.05 | $21.05 |