| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.33 | $824.41 | $1,080.85 | |
Aetna
| Professional | $157.33 | $157.33 | $157.33 | |
Cigna
| Facility | $149.41 | $153.68 | $481.68 | |
Cigna
| Professional | $80.33 | $181.52 | $319.92 | |
Regence BlueShield
| Facility | $174.81 | $201.03 | $707.98 | |
Regence BlueShield
| Professional | $171.91 | $188.53 | $209.48 | |
United
| Professional | $73.42 | $73.42 | $174.81 |