| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.17 | $51.17 | $6,714.19 | |
Aetna
| Professional | $51.17 | $51.17 | $51.17 | |
Cigna
| Facility | $50.54 | $63.12 | $103.20 | |
Cigna
| Professional | $44.11 | $44.11 | $44.11 | |
Regence BlueShield
| Facility | $44.11 | $44.11 | $116.83 | |
United
| Professional | $41.90 | $44.11 | $44.11 |