| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $73.81 | |
Aetna
| Professional | $73.81 | $73.81 | $73.81 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Regence BlueShield
| Facility | $93.00 | $105.68 | $105.68 | |
United
| Professional | $73.81 | $83.42 | $88.58 |