| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.67 | $93.86 | $93.86 | |
Aetna
| Professional | $93.86 | $93.86 | $93.86 | |
Cigna
| Facility | $90.66 | $102.83 | $118.25 | |
Cigna
| Professional | $80.91 | $80.91 | $80.91 | |
Regence BlueShield
| Facility | $80.91 | $80.91 | $202.61 | |
United
| Professional | $80.75 | $80.91 | $80.91 |