| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.48 | $66.48 | $147.68 | |
Aetna
| Professional | $66.48 | $66.48 | $66.48 | |
Cigna
| Facility | $282.92 | $290.99 | $912.02 | |
Cigna
| Professional | $226.12 | $342.65 | $605.67 | |
Regence BlueShield
| Facility | $331.00 | $380.65 | $1,340.55 | |
Regence BlueShield
| Professional | $269.33 | $338.96 | $396.61 | |
United
| Professional | $108.81 | $139.02 | $198.60 |