| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.00 | $65.00 | $261.94 | |
Aetna
| Professional | $65.00 | $65.00 | $65.00 | |
Cigna
| Facility | $117.10 | $120.44 | $377.48 | |
Cigna
| Professional | $63.01 | $147.25 | $250.42 | |
Regence BlueShield
| Facility | $137.00 | $157.55 | $554.85 | |
Regence BlueShield
| Professional | $137.00 | $147.94 | $164.39 | |
United
| Professional | $57.54 | $57.54 | $82.20 |