| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.44 | $147.85 | $147.85 | |
Aetna
| Professional | $147.85 | $147.85 | $147.85 | |
Cigna
| Facility | $155.79 | $187.64 | $205.67 | |
Cigna
| Professional | $127.45 | $127.45 | $127.45 | |
Regence BlueShield
| Facility | $127.45 | $127.45 | $386.80 | |
United
| Professional | $127.45 | $127.45 | $127.45 |