| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.66 | $99.66 | $2,496.23 | |
Aetna
| Professional | $99.66 | $99.66 | $99.66 | |
Cigna
| Facility | $241.79 | $248.68 | $779.42 | |
Cigna
| Professional | $130.03 | $303.81 | $517.62 | |
Regence BlueShield
| Facility | $282.88 | $325.31 | $1,145.66 | |
Regence BlueShield
| Professional | $294.82 | $313.38 | $463.10 | |
United
| Professional | $118.81 | $118.81 | $282.88 |