| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.94 | $136.13 | $136.13 | |
Aetna
| Professional | $136.13 | $136.13 | $136.13 | |
Cigna
| Facility | $135.07 | $152.50 | $175.38 | |
Cigna
| Professional | $117.36 | $117.36 | $117.36 | |
Regence BlueShield
| Facility | $117.36 | $117.36 | $303.72 | |
United
| Professional | $117.36 | $117.36 | $117.36 |