| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.76 | $217.76 | $483.75 | |
Aetna
| Professional | $217.76 | $217.76 | $217.76 | |
Cigna
| Facility | $43.97 | $45.23 | $141.75 | |
Cigna
| Professional | $23.57 | $55.41 | $94.06 | |
Regence BlueShield
| Facility | $51.45 | $59.17 | $208.37 | |
Regence BlueShield
| Professional | $53.61 | $56.99 | $389.66 | |
United
| Professional | $21.61 | $21.61 | $30.87 |