| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.13 | $76.13 | $76.23 | |
Aetna
| Professional | $76.13 | $76.13 | $76.13 | |
Cigna
| Facility | $74.95 | $91.17 | $97.31 | |
Cigna
| Professional | $65.63 | $65.63 | $65.63 | |
Regence BlueShield
| Facility | $65.63 | $65.63 | $163.97 | |
United
| Professional | $62.35 | $65.63 | $65.63 |