| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.65 | $22.65 | $991.60 | |
Aetna
| Professional | $22.65 | $22.65 | $22.65 | |
Cigna
| Facility | $20.30 | $24.78 | $26.37 | |
Cigna
| Professional | $19.52 | $19.52 | $19.52 | |
Regence BlueShield
| Facility | $26.31 | $39.43 | $56.61 | |
United
| Professional | $19.52 | $19.52 | $19.52 |