| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.93 | $82.93 | $184.23 | |
Aetna
| Professional | $82.93 | $82.93 | $82.93 | |
Cigna
| Facility | $200.01 | $205.71 | $644.75 | |
Cigna
| Professional | $107.58 | $251.11 | $428.35 | |
Regence BlueShield
| Facility | $234.00 | $269.10 | $947.70 | |
Regence BlueShield
| Professional | $243.88 | $259.24 | $618.39 | |
United
| Professional | $98.28 | $98.28 | $140.40 |