| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $343.45 | $343.45 | $762.92 | |
Aetna
| Professional | $343.45 | $343.45 | $343.45 | |
Cigna
| Facility | $182.32 | $187.52 | $587.74 | |
Cigna
| Professional | $132.61 | $220.79 | $390.01 | |
Regence BlueShield
| Facility | $213.30 | $245.30 | $863.87 | |
Regence BlueShield
| Professional | $157.72 | $198.53 | $255.76 | |
United
| Professional | $63.72 | $89.59 | $127.98 |