| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.50 | $192.50 | $427.61 | |
Aetna
| Professional | $192.50 | $192.50 | $192.50 | |
Cigna
| Facility | $178.58 | $183.67 | $575.66 | |
Cigna
| Professional | $198.15 | $249.17 | $382.22 | |
Regence BlueShield
| Facility | $208.92 | $240.26 | $940.13 | |
Regence BlueShield
| Professional | $225.51 | $296.32 | $367.69 | |
United
| Professional | $87.75 | $119.71 | $125.35 |