| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.87 | $192.36 | $192.36 | |
Aetna
| Professional | $192.36 | $192.36 | $192.36 | |
Cigna
| Facility | $182.45 | $217.79 | $236.90 | |
Cigna
| Professional | $165.83 | $165.83 | $165.83 | |
Regence BlueShield
| Facility | $223.61 | $309.38 | $444.16 | |
United
| Professional | $165.83 | $165.83 | $165.83 |