| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.61 | $42.65 | $42.65 | |
Aetna
| Professional | $42.65 | $42.65 | $42.65 | |
Cigna
| Facility | $40.54 | $49.00 | $52.65 | |
Cigna
| Professional | $36.77 | $36.77 | $36.77 | |
Regence BlueShield
| Facility | $56.34 | $72.34 | $100.86 | |
United
| Professional | $36.77 | $36.77 | $36.77 |