| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.33 | $132.86 | $132.86 | |
Aetna
| Professional | $132.86 | $152.61 | $245.82 | |
Cigna
| Facility | $107.78 | $139.94 | $191.02 | |
Cigna
| Professional | $114.54 | $114.54 | $114.54 | |
Regence BlueShield
| Facility | $194.08 | $249.18 | $347.42 | |
United
| Professional | $108.81 | $114.54 | $114.54 |