| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.14 | $104.67 | $109.24 | |
Aetna
| Professional | $92.18 | $104.67 | $163.13 | |
Cigna
| Professional | $115.07 | $115.07 | $115.07 | |
Regence BlueShield
| Facility | $82.87 | $91.86 | $116.50 | |
United
| Professional | $102.74 | $121.23 | $123.29 |