| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.49 | $121.49 | $121.74 | |
Aetna
| Professional | $121.49 | $121.49 | $121.49 | |
Cigna
| Facility | $117.84 | $139.58 | $153.00 | |
Cigna
| Professional | $104.73 | $104.73 | $104.73 | |
Regence BlueShield
| Facility | $148.68 | $202.40 | $290.58 | |
United
| Professional | $99.49 | $104.73 | $104.73 |