| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.00 | $161.00 | $357.64 | |
Aetna
| Professional | $161.00 | $161.00 | $161.00 | |
Cigna
| Facility | $172.24 | $177.15 | $555.22 | |
Cigna
| Professional | $191.00 | $240.26 | $368.44 | |
Regence BlueShield
| Facility | $201.50 | $231.73 | $906.71 | |
Regence BlueShield
| Professional | $217.26 | $285.79 | $354.23 | |
United
| Professional | $84.63 | $115.46 | $120.90 |