| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.29 | $387.29 | $860.30 | |
Aetna
| Professional | $387.29 | $387.29 | $387.29 | |
Cigna
| Facility | $173.00 | $177.93 | $557.67 | |
Cigna
| Professional | $166.38 | $209.68 | $370.24 | |
Regence BlueShield
| Facility | $202.40 | $232.76 | $819.72 | |
Regence BlueShield
| Professional | $198.23 | $218.33 | $249.51 | |
United
| Professional | $80.09 | $85.01 | $121.44 |