| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.00 | $845.59 | $973.19 | |
Aetna
| Professional | $21.00 | $21.00 | $21.00 | |
Cigna
| Facility | $20.36 | $24.60 | $26.44 | |
Cigna
| Professional | $18.11 | $18.11 | $18.11 | |
Regence BlueShield
| Facility | $26.52 | $36.34 | $52.17 | |
United
| Professional | $18.11 | $18.11 | $18.11 |