| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.55 | $154.55 | $343.31 | |
Aetna
| Professional | $154.55 | $154.55 | $154.55 | |
Cigna
| Facility | $149.41 | $153.68 | $481.68 | |
Cigna
| Professional | $152.94 | $182.27 | $319.92 | |
Regence BlueShield
| Facility | $174.81 | $201.03 | $707.98 | |
Regence BlueShield
| Professional | $182.02 | $193.48 | $229.11 | |
United
| Professional | $73.42 | $73.53 | $104.89 |