| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.19 | $134.19 | $134.19 | |
Aetna
| Professional | $134.19 | $134.19 | $134.19 | |
Cigna
| Facility | $166.86 | $204.42 | $340.75 | |
Cigna
| Professional | $177.04 | $177.04 | $177.04 | |
Regence BlueShield
| Facility | $224.94 | $290.42 | $416.93 | |
United
| Professional | $127.48 | $151.63 | $161.03 |