| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.44 | $130.44 | $778.24 | |
Aetna
| Professional | $130.44 | $131.21 | $356.00 | |
Cigna
| Facility | $141.16 | $183.30 | $186.14 | |
Cigna
| Professional | $112.45 | $112.45 | $112.45 | |
Regence BlueShield
| Facility | $197.61 | $249.69 | $353.74 | |
United
| Professional | $106.83 | $112.45 | $112.45 |