| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $74.13 | $74.13 | |
Aetna
| Professional | $70.79 | $74.13 | $89.13 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
Regence BlueShield
| Facility | $114.82 | $144.54 | $269.15 | |
Select Health
| Professional | $81.28 | $81.28 | $81.28 | |
United
| Professional | $74.13 | $74.13 | $74.13 |