| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $38.90 | $38.90 | $38.90 | |
BCBS
| Facility | $35.48 | $37.15 | $91.20 | |
BCBS
| Professional | $35.48 | $37.15 | $70.79 | |
Regence BlueShield
| Facility | $69.18 | $91.20 | $128.82 | |
Regence BlueShield
| Professional | $35.48 | $57.54 | $58.88 | |
Select Health
| Professional | $37.15 | $38.90 | $63.10 | |
United
| Professional | $36.31 | $39.81 | $58.88 |