| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.88 | $744.06 | $1,513.03 | |
Aetna
| Professional | $220.88 | $220.88 | $243.50 | |
Cigna
| Facility | $186.39 | $191.70 | $600.84 | |
Cigna
| Professional | $134.32 | $261.67 | $464.15 | |
Regence BlueShield
| Facility | $218.06 | $250.77 | $960.42 | |
Regence BlueShield
| Professional | $235.21 | $261.33 | $318.72 | |
United
| Professional | $91.59 | $123.22 | $130.84 |