| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.69 | $129.69 | $288.12 | |
Aetna
| Professional | $129.69 | $129.69 | $129.69 | |
Cigna
| Facility | $87.41 | $89.90 | $281.77 | |
Cigna
| Professional | $46.98 | $109.67 | $186.92 | |
Regence BlueShield
| Facility | $102.26 | $117.60 | $414.15 | |
Regence BlueShield
| Professional | $106.58 | $113.29 | $208.81 | |
United
| Professional | $42.95 | $61.36 | $61.36 |