| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.80 | $711.59 | $932.95 | |
Aetna
| Professional | $135.80 | $135.80 | $135.80 | |
Cigna
| Facility | $104.46 | $107.44 | $336.75 | |
Cigna
| Professional | $65.29 | $145.69 | $223.46 | |
Regence BlueShield
| Facility | $122.22 | $140.55 | $549.99 | |
Regence BlueShield
| Professional | $123.51 | $146.43 | $167.18 | |
United
| Professional | $51.33 | $63.37 | $73.33 |