| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.50 | $175.00 | $281.91 | |
Aetna
| Professional | $113.59 | $157.34 | $175.00 | |
Cigna
| Facility | $131.21 | $134.94 | $422.97 | |
Cigna
| Professional | $176.76 | $176.76 | $220.96 | |
Regence BlueShield
| Facility | $153.50 | $176.53 | $621.67 | |
Regence BlueShield
| Professional | $117.50 | $125.08 | $177.16 | |
United
| Professional | $64.47 | $64.47 | $92.10 |