| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.24 | $478.10 | $626.82 | |
Aetna
| Professional | $76.04 | $121.41 | $186.16 | |
Cigna
| Facility | $138.36 | $142.31 | $446.03 | |
Cigna
| Professional | $42.70 | $185.85 | $232.31 | |
Regence BlueShield
| Facility | $161.88 | $186.16 | $655.61 | |
Regence BlueShield
| Professional | $123.91 | $131.86 | $186.73 | |
United
| Professional | $42.58 | $67.98 | $97.13 |