| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.49 | $142.49 | $377.00 | |
Aetna
| Professional | $142.49 | $142.49 | $142.49 | |
Cigna
| Facility | $151.50 | $155.82 | $488.38 | |
Cigna
| Professional | $168.02 | $211.58 | $324.11 | |
Regence BlueShield
| Facility | $177.25 | $203.84 | $797.61 | |
Regence BlueShield
| Professional | $191.04 | $251.40 | $311.49 | |
United
| Professional | $74.45 | $101.56 | $106.35 |