| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.43 | $70.38 | $199.96 | |
Aetna
| Professional | $70.38 | $70.38 | $186.87 | |
Cigna
| Professional | $80.88 | $80.88 | $80.88 | |
Regence BlueShield
| Facility | $87.81 | $100.44 | $126.88 | |
United
| Professional | $72.23 | $85.23 | $86.68 |