| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.27 | $282.27 | $282.27 | |
Aetna
| Professional | $282.27 | $282.27 | $282.27 | |
Cigna
| Facility | $182.35 | $205.88 | $236.77 | |
Cigna
| Professional | $289.08 | $289.08 | $289.08 | |
Regence BlueShield
| Facility | $256.22 | $328.97 | $458.66 | |
United
| Professional | $269.25 | $283.42 | $283.42 |