| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.72 | $133.72 | $297.02 | |
Aetna
| Professional | $133.72 | $133.72 | $133.72 | |
Cigna
| Facility | $249.03 | $256.13 | $802.78 | |
Cigna
| Professional | $254.89 | $304.02 | $533.19 | |
Regence BlueShield
| Facility | $291.36 | $335.06 | $1,180.01 | |
Regence BlueShield
| Professional | $303.37 | $322.47 | $381.84 | |
United
| Professional | $122.37 | $122.56 | $174.82 |