| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $275.39 | |
Aetna
| Professional | $275.39 | $275.39 | $275.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Regence BlueShield
| Facility | $0.02 | $0.02 | $0.03 | |
United
| Professional | $234.97 | $279.49 | $296.81 |