| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.15 | $162.15 | $360.20 | |
Aetna
| Professional | $162.15 | $162.15 | $162.15 | |
Cigna
| Facility | $145.22 | $149.37 | $468.16 | |
Cigna
| Professional | $112.59 | $175.98 | $310.93 | |
Regence BlueShield
| Facility | $169.90 | $195.39 | $688.10 | |
Regence BlueShield
| Professional | $134.13 | $168.82 | $203.49 | |
United
| Professional | $54.19 | $71.36 | $101.94 |