| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.97 | $159.97 | $159.97 | |
Cigna
| Professional | $94.71 | $179.65 | $305.95 | |
Regence BlueShield
| Professional | $143.75 | $172.37 | $225.47 | |
United
| Professional | $86.25 | $110.65 | $258.75 |