| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.95 | $95.95 | $213.15 | |
Aetna
| Professional | $95.95 | $95.95 | $95.95 | |
Cigna
| Facility | $105.71 | $108.73 | $340.77 | |
Cigna
| Professional | $117.40 | $147.63 | $226.46 | |
Regence BlueShield
| Facility | $123.68 | $142.22 | $556.54 | |
Regence BlueShield
| Professional | $133.59 | $175.42 | $217.81 | |
United
| Professional | $51.95 | $70.87 | $74.20 |