| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $41.69 | |
Aetna
| Professional | $39.81 | $41.69 | $50.12 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Regence BlueShield
| Facility | $50.12 | $81.28 | $114.82 | |
Select Health
| Professional | $45.71 | $45.71 | $46.77 | |
United
| Professional | $42.66 | $42.66 | $42.66 |