| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.53 | $182.53 | $182.53 | |
Aetna
| Professional | $182.53 | $182.53 | $182.53 | |
Cigna
| Professional | $186.93 | $186.93 | $186.93 | |
Regence BlueShield
| Facility | $185.07 | $237.62 | $331.30 | |
United
| Professional | $183.26 | $183.26 | $183.26 |