| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $635.63 | $635.63 | $635.63 | |
Cigna
| Professional | $847.50 | $847.50 | $847.50 | |
Regence BlueShield
| Professional | $706.25 | $812.73 | $979.48 | |
United
| Professional | $296.63 | $296.63 | $423.75 |