| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.20 | $113.20 | $251.45 | |
Aetna
| Professional | $113.20 | $113.20 | $113.20 | |
Cigna
| Facility | $177.20 | $182.25 | $571.21 | |
Cigna
| Professional | $196.59 | $247.23 | $379.23 | |
Regence BlueShield
| Facility | $207.31 | $238.41 | $932.92 | |
Regence BlueShield
| Professional | $223.72 | $294.04 | $364.77 | |
United
| Professional | $87.07 | $118.79 | $124.39 |