| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.16 | $954.52 | $1,251.44 | |
Aetna
| Professional | $182.16 | $182.16 | $182.16 | |
Cigna
| Facility | $173.00 | $177.93 | $557.67 | |
Cigna
| Professional | $92.99 | $209.91 | $370.24 | |
Regence BlueShield
| Facility | $202.40 | $232.76 | $819.72 | |
Regence BlueShield
| Professional | $199.03 | $218.33 | $242.59 | |
United
| Professional | $85.01 | $85.01 | $121.44 |