| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.20 | $320.20 | $1,260.42 | |
Aetna
| Professional | $320.20 | $320.20 | $320.20 | |
Cigna
| Facility | $222.91 | $229.26 | $718.55 | |
Cigna
| Professional | $247.22 | $311.17 | $476.88 | |
Regence BlueShield
| Facility | $260.79 | $299.91 | $1,173.53 | |
Regence BlueShield
| Professional | $281.18 | $369.87 | $458.45 | |
United
| Professional | $109.53 | $149.43 | $156.47 |