| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.40 | $431.78 | $566.09 | |
Aetna
| Professional | $82.40 | $92.32 | $118.02 | |
Cigna
| Facility | $45.39 | $45.39 | $45.39 | |
Cigna
| Professional | $105.73 | $105.73 | $132.16 | |
Regence BlueShield
| Facility | $82.20 | $103.83 | $149.72 | |
Regence BlueShield
| Professional | $23.67 | $31.33 | $34.81 |