| 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 | $63.53 | $65.34 | $204.79 | |
Cigna
| Professional | $70.50 | $86.80 | $135.99 | |
Regence BlueShield
| Facility | $74.33 | $85.48 | $327.36 | |
Regence BlueShield
| Professional | $80.08 | $103.19 | $129.86 | |
United
| Professional | $31.22 | $41.69 | $44.60 |