| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.74 | $94.74 | $210.43 | |
Aetna
| Professional | $94.74 | $94.74 | $94.74 | |
Cigna
| Facility | $104.46 | $107.44 | $336.75 | |
Cigna
| Professional | $115.84 | $145.69 | $223.46 | |
Regence BlueShield
| Facility | $122.22 | $140.55 | $549.99 | |
Regence BlueShield
| Professional | $131.79 | $173.34 | $214.88 | |
United
| Professional | $51.33 | $70.03 | $73.33 |