| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.68 | $48.70 | $48.70 | |
Aetna
| Professional | $48.70 | $48.70 | $48.70 | |
Cigna
| Facility | $48.29 | $58.45 | $62.69 | |
Cigna
| Professional | $41.98 | $41.98 | $41.98 | |
Regence BlueShield
| Facility | $41.98 | $41.98 | $105.79 | |
United
| Professional | $41.98 | $41.98 | $41.98 |