| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.46 | $463.53 | $607.72 | |
Aetna
| Professional | $88.46 | $133.16 | $204.19 | |
Cigna
| Facility | $151.76 | $156.09 | $489.22 | |
Cigna
| Professional | $77.29 | $204.02 | $255.03 | |
Regence BlueShield
| Facility | $177.56 | $204.19 | $719.12 | |
Regence BlueShield
| Professional | $135.91 | $144.62 | $204.69 | |
United
| Professional | $74.58 | $74.58 | $106.54 |