| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.00 | $175.00 | $388.73 | |
Aetna
| Professional | $175.00 | $175.00 | $175.00 | |
Cigna
| Facility | $257.58 | $264.92 | $830.34 | |
Cigna
| Professional | $138.53 | $323.57 | $551.16 | |
Regence BlueShield
| Facility | $301.35 | $346.55 | $1,220.47 | |
Regence BlueShield
| Professional | $314.07 | $333.84 | $464.85 | |
United
| Professional | $126.57 | $126.57 | $180.81 |