| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.77 | $37.77 | $37.77 | |
Aetna
| Professional | $37.77 | $53.96 | $287.63 | |
Cigna
| Professional | $43.91 | $43.91 | $118.50 | |
Regence BlueShield
| Facility | $90.45 | $100.88 | $100.88 | |
Regence BlueShield
| Professional | $57.44 | $72.31 | $108.47 | |
United
| Professional | $35.72 | $45.64 | $54.89 |