| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.96 | $98.16 | $254.51 | |
Aetna
| Professional | $83.49 | $98.16 | $98.16 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Regence BlueShield
| Facility | $108.60 | $108.60 | $108.60 | |
United
| Professional | $86.23 | $101.75 | $103.48 |