| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.14 | $261.14 | $261.14 | |
Aetna
| Professional | $261.14 | $261.14 | $261.14 | |
Cigna
| Professional | $269.49 | $269.49 | $269.49 | |
Regence BlueShield
| Facility | $307.56 | $362.72 | $362.72 | |
United
| Professional | $228.59 | $271.89 | $288.74 |