| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.28 | $79.28 | $176.12 | |
Aetna
| Professional | $79.28 | $79.28 | $79.28 | |
Cigna
| Facility | $141.47 | $145.50 | $456.03 | |
Cigna
| Professional | $144.80 | $172.93 | $302.54 | |
Regence BlueShield
| Facility | $165.51 | $190.34 | $670.32 | |
Regence BlueShield
| Professional | $172.50 | $183.36 | $217.12 | |
United
| Professional | $69.51 | $69.69 | $99.31 |