| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.25 | $388.25 | $862.44 | |
Aetna
| Professional | $388.25 | $388.25 | $388.25 | |
Cigna
| Facility | $177.20 | $182.25 | $571.21 | |
Cigna
| Professional | $196.59 | $248.77 | $441.15 | |
Regence BlueShield
| Facility | $207.31 | $238.41 | $963.99 | |
Regence BlueShield
| Professional | $223.72 | $364.77 | $549.33 | |
United
| Professional | $87.07 | $124.39 | $181.18 |