| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.80 | $318.58 | $417.70 | |
Aetna
| Professional | $22.00 | $97.56 | $117.42 | |
Cigna
| Facility | $45.39 | $45.39 | $45.39 | |
Cigna
| Professional | $62.78 | $62.78 | $78.47 | |
Regence BlueShield
| Facility | $82.20 | $103.83 | $149.72 | |
Regence BlueShield
| Professional | $23.67 | $31.33 | $34.81 |