| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.65 | $88.68 | $133.11 | |
Aetna
| Professional | $70.50 | $90.00 | $100.00 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
Regence BlueShield
| Facility | $81.76 | $105.21 | $111.13 | |
United
| Professional | $86.23 | $103.33 | $103.48 |