| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.88 | $163.55 | $163.55 | |
Aetna
| Professional | $163.55 | $163.55 | $163.55 | |
Cigna
| Facility | $159.66 | $191.64 | $207.30 | |
Cigna
| Professional | $140.99 | $140.99 | $140.99 | |
Regence BlueShield
| Facility | $216.18 | $282.80 | $406.00 | |
United
| Professional | $133.94 | $140.99 | $156.94 |