| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.44 | $91.39 | $119.81 | |
Aetna
| Professional | $17.44 | $24.58 | $34.74 | |
Cigna
| Facility | $28.01 | $28.81 | $90.29 | |
Cigna
| Professional | $14.34 | $37.58 | $46.98 | |
Regence BlueShield
| Facility | $32.77 | $37.69 | $132.72 | |
Regence BlueShield
| Professional | $25.08 | $26.59 | $37.90 | |
United
| Professional | $13.76 | $13.76 | $32.77 |