| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.04 | $65.04 | $112.28 | |
Aetna
| Professional | $65.04 | $65.04 | $65.04 | |
Cigna
| Facility | $64.23 | $76.03 | $83.40 | |
Cigna
| Professional | $56.07 | $56.07 | $56.07 | |
Regence BlueShield
| Facility | $56.07 | $56.07 | $137.51 | |
United
| Professional | $53.27 | $56.07 | $56.07 |