| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.26 | $164.26 | $273.98 | |
Aetna
| Professional | $164.26 | $164.26 | $164.26 | |
Cigna
| Facility | $158.96 | $181.80 | $206.39 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Regence BlueShield
| Facility | $141.60 | $141.60 | $328.08 | |
United
| Professional | $141.60 | $141.60 | $141.60 |