| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.59 | $235.14 | $428.38 | |
Aetna
| Professional | $152.08 | $177.56 | $287.33 | |
Cigna
| Professional | $174.44 | $174.44 | $174.44 | |
Regence BlueShield
| Facility | $180.39 | $240.85 | $262.27 | |
United
| Professional | $147.96 | $176.00 | $186.90 |