| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $51.29 | $52.48 | $64.57 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
Regence BlueShield
| Facility | $162.18 | $162.18 | $223.87 | |
Select Health
| Professional | $69.18 | $69.18 | $69.18 | |
United
| Professional | $56.23 | $56.23 | $56.23 |