| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.64 | $239.64 | $422.57 | |
Aetna
| Professional | $239.64 | $239.64 | $239.64 | |
Cigna
| Facility | $234.85 | $266.32 | $306.27 | |
Cigna
| Professional | $206.59 | $206.59 | $206.59 | |
Regence BlueShield
| Facility | $206.59 | $206.59 | $526.28 | |
United
| Professional | $196.26 | $206.59 | $206.59 |