| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.00 | $88.00 | $88.00 | |
Aetna
| Professional | $88.00 | $88.00 | $88.00 | |
Cigna
| Facility | $84.75 | $95.69 | $110.04 | |
Cigna
| Professional | $75.86 | $75.86 | $75.86 | |
Regence BlueShield
| Facility | $98.94 | $136.90 | $196.53 | |
United
| Professional | $75.86 | $75.86 | $75.86 |