| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.67 | $65.67 | $65.67 | |
Aetna
| Professional | $65.67 | $65.67 | $69.94 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Regence BlueShield
| Facility | $81.76 | $105.21 | $111.13 | |
United
| Professional | $73.40 | $82.94 | $88.08 |