| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.99 | $3,032.67 | $6,159.54 | |
Aetna
| Professional | $114.99 | $114.99 | $114.99 | |
Cigna
| Facility | $146.58 | $165.49 | $190.32 | |
Cigna
| Professional | $99.13 | $99.13 | $99.13 | |
Regence BlueShield
| Facility | $249.71 | $317.68 | $428.50 | |
United
| Professional | $94.17 | $99.13 | $110.35 |