| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.13 | $152.13 | $153.16 | |
Aetna
| Professional | $152.13 | $152.13 | $152.13 | |
Cigna
| Facility | $136.88 | $156.41 | $191.62 | |
Cigna
| Professional | $131.16 | $131.16 | $131.16 | |
Regence BlueShield
| Facility | $134.52 | $188.65 | $414.83 | |
United
| Professional | $124.60 | $131.16 | $146.01 |