| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.85 | $565.13 | $740.93 | |
Aetna
| Professional | $107.85 | $107.85 | $107.85 | |
Cigna
| Facility | $70.94 | $72.97 | $228.69 | |
Cigna
| Professional | $38.15 | $89.13 | $151.57 | |
Regence BlueShield
| Facility | $83.00 | $95.45 | $336.15 | |
Regence BlueShield
| Professional | $81.63 | $99.35 | $113.81 | |
United
| Professional | $33.02 | $34.88 | $49.80 |