| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $43.65 | |
Aetna
| Professional | $41.69 | $43.65 | $52.48 | |
Cigna
| Professional | $45.71 | $45.71 | $45.71 | |
Regence BlueShield
| Facility | $69.18 | $89.13 | $177.83 | |
Select Health
| Professional | $37.15 | $50.12 | $50.12 |