| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.35 | $183.35 | $407.28 | |
Aetna
| Professional | $183.35 | $183.35 | $183.35 | |
Cigna
| Facility | $147.63 | $151.84 | $475.91 | |
Cigna
| Professional | $163.98 | $185.62 | $316.32 | |
Regence BlueShield
| Facility | $172.73 | $198.64 | $699.56 | |
Regence BlueShield
| Professional | $186.37 | $211.80 | $266.58 | |
United
| Professional | $72.55 | $85.56 | $103.64 |