| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $75.00 | $166.60 | |
Aetna
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $149.91 | $154.19 | $483.29 | |
Cigna
| Professional | $156.38 | $186.75 | $321.11 | |
Regence BlueShield
| Facility | $175.40 | $201.71 | $710.37 | |
Regence BlueShield
| Professional | $186.35 | $198.09 | $234.54 | |
United
| Professional | $73.67 | $75.29 | $179.25 |