| 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 | $288.67 | $296.89 | $930.55 | |
Cigna
| Professional | $134.83 | $349.82 | $617.66 | |
Regence BlueShield
| Facility | $337.73 | $388.39 | $1,367.81 | |
Regence BlueShield
| Professional | $134.66 | $303.95 | $404.99 | |
United
| Professional | $54.32 | $141.85 | $202.64 |