| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.19 | $162.19 | $360.27 | |
Aetna
| Professional | $162.19 | $162.19 | $162.19 | |
Cigna
| Facility | $108.92 | $112.03 | $351.12 | |
Cigna
| Professional | $120.81 | $136.79 | $233.05 | |
Regence BlueShield
| Facility | $127.43 | $146.54 | $516.09 | |
Regence BlueShield
| Professional | $137.54 | $157.94 | $198.80 | |
United
| Professional | $53.52 | $63.81 | $76.45 |