| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.74 | $103.74 | $230.43 | |
Aetna
| Professional | $103.74 | $103.74 | $103.74 | |
Cigna
| Facility | $260.54 | $267.97 | $839.87 | |
Cigna
| Professional | $140.13 | $327.45 | $557.76 | |
Regence BlueShield
| Facility | $304.81 | $350.53 | $1,234.48 | |
Regence BlueShield
| Professional | $299.75 | $328.93 | $365.48 | |
United
| Professional | $128.02 | $128.02 | $182.89 |