| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.45 | $76.29 | $155.68 | |
Aetna
| Professional | $69.22 | $71.68 | $90.00 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Regence BlueShield
| Facility | $83.05 | $110.44 | $111.13 | |
United
| Professional | $73.48 | $87.42 | $92.83 |