| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.79 | $115.96 | $115.96 | |
Aetna
| Professional | $115.96 | $115.96 | $115.96 | |
Cigna
| Facility | $115.39 | $130.54 | $150.12 | |
Cigna
| Professional | $99.97 | $99.97 | $99.97 | |
Regence BlueShield
| Facility | $99.97 | $99.97 | $271.27 | |
United
| Professional | $94.97 | $99.97 | $99.97 |