| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.13 | $681.93 | $1,474.07 | |
Aetna
| Professional | $130.13 | $130.13 | $130.13 | |
Cigna
| Facility | $109.66 | $112.78 | $353.49 | |
Cigna
| Professional | $76.04 | $153.94 | $273.19 | |
Regence BlueShield
| Facility | $128.29 | $147.53 | $577.29 | |
Regence BlueShield
| Professional | $138.26 | $153.62 | $189.21 | |
United
| Professional | $53.88 | $73.40 | $76.97 |