| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.72 | $119.40 | $119.40 | |
Aetna
| Professional | $119.40 | $119.40 | $119.40 | |
Cigna
| Facility | $128.96 | $149.16 | $171.55 | |
Cigna
| Professional | $102.94 | $102.94 | $102.94 | |
Regence BlueShield
| Facility | $213.68 | $251.39 | $269.91 | |
United
| Professional | $97.79 | $102.94 | $102.94 |