| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $375.27 | |
Aetna
| Professional | $100.00 | $100.00 | $233.27 | |
Cigna
| Facility | $158.30 | $162.81 | $510.29 | |
Cigna
| Professional | $85.14 | $198.79 | $339.09 | |
Regence BlueShield
| Facility | $185.20 | $212.98 | $750.06 | |
Regence BlueShield
| Professional | $168.66 | $199.66 | $221.84 | |
United
| Professional | $77.78 | $77.78 | $185.20 |