| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $22.91 | $23.99 | $28.18 | |
Cigna
| Professional | $24.55 | $24.55 | $24.55 | |
Regence BlueShield
| Facility | $31.62 | $39.81 | $77.62 | |
Select Health
| Professional | $10.23 | $28.84 | $28.84 |