| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $222.13 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $128.49 | $132.15 | $414.19 | |
Cigna
| Professional | $69.09 | $161.59 | $274.98 | |
Regence BlueShield
| Facility | $150.33 | $172.88 | $608.84 | |
Regence BlueShield
| Professional | $129.27 | $162.32 | $180.35 | |
United
| Professional | $63.14 | $63.14 | $90.20 |