| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.00 | $85.00 | $294.52 | |
Aetna
| Professional | $85.00 | $85.00 | $85.00 | |
Cigna
| Facility | $251.74 | $258.92 | $811.51 | |
Cigna
| Professional | $279.20 | $351.47 | $538.59 | |
Regence BlueShield
| Facility | $294.52 | $338.70 | $1,325.32 | |
Regence BlueShield
| Professional | $317.80 | $417.73 | $518.16 | |
United
| Professional | $123.70 | $168.75 | $176.71 |