| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.24 | $104.24 | $231.54 | |
Aetna
| Professional | $104.24 | $104.24 | $104.24 | |
Cigna
| Facility | $169.23 | $174.05 | $545.52 | |
Cigna
| Professional | $187.90 | $236.38 | $362.45 | |
Regence BlueShield
| Facility | $197.99 | $227.69 | $890.96 | |
Regence BlueShield
| Professional | $213.67 | $280.81 | $348.37 | |
United
| Professional | $83.16 | $113.45 | $118.79 |