| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $66.79 | |
Aetna
| Professional | $3.00 | $4.41 | $4.76 | |
Cigna
| Professional | $8.14 | $13.70 | $33.59 | |
Regence BlueShield
| Facility | $102.57 | $133.57 | $194.65 | |
United
| Professional | $14.44 | $16.64 | $33.99 |