| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.95 | $200.95 | $446.38 | |
Aetna
| Professional | $200.95 | $200.95 | $200.95 | |
Cigna
| Facility | $40.38 | $41.53 | $130.18 | |
Cigna
| Professional | $21.65 | $50.76 | $86.27 | |
Regence BlueShield
| Facility | $47.25 | $54.34 | $191.36 | |
Regence BlueShield
| Professional | $49.24 | $52.35 | $453.54 | |
United
| Professional | $19.85 | $19.85 | $28.35 |