| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.50 | $173.50 | $385.40 | |
Aetna
| Professional | $173.50 | $173.50 | $173.50 | |
Cigna
| Facility | $173.95 | $178.91 | $560.73 | |
Cigna
| Professional | $192.87 | $218.56 | $372.04 | |
Regence BlueShield
| Facility | $203.50 | $234.03 | $824.18 | |
Regence BlueShield
| Professional | $219.41 | $243.79 | $290.02 | |
United
| Professional | $85.47 | $93.10 | $122.10 |