| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.97 | $518.20 | $961.59 | |
Aetna
| Professional | $139.97 | $139.97 | $139.97 | |
Cigna
| Facility | $110.03 | $113.16 | $354.68 | |
Cigna
| Professional | $81.03 | $153.44 | $247.33 | |
Regence BlueShield
| Facility | $128.72 | $148.04 | $579.27 | |
Regence BlueShield
| Professional | $138.97 | $156.74 | $197.30 | |
United
| Professional | $54.07 | $76.56 | $77.23 |