| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.83 | $177.27 | $373.38 | |
Aetna
| Professional | $33.83 | $33.83 | $39.64 | |
Cigna
| Facility | $34.65 | $35.65 | $111.74 | |
Cigna
| Professional | $20.88 | $43.40 | $74.29 | |
Regence BlueShield
| Facility | $40.54 | $46.63 | $164.23 | |
Regence BlueShield
| Professional | $39.18 | $43.81 | $49.19 | |
United
| Professional | $17.03 | $20.05 | $24.33 |