| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.19 | $150.19 | $150.31 | |
Aetna
| Professional | $150.19 | $150.19 | $150.19 | |
Cigna
| Facility | $150.54 | $184.84 | $195.45 | |
Cigna
| Professional | $129.47 | $129.47 | $129.47 | |
Regence BlueShield
| Facility | $129.47 | $129.47 | $341.85 | |
United
| Professional | $129.47 | $129.47 | $129.47 |