| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.15 | $73.15 | $776.31 | |
Aetna
| Professional | $73.15 | $73.15 | $73.15 | |
Cigna
| Facility | $94.61 | $115.55 | $157.93 | |
Cigna
| Professional | $63.06 | $63.06 | $63.06 | |
Regence BlueShield
| Facility | $163.09 | $216.44 | $321.63 | |
United
| Professional | $59.91 | $63.06 | $70.20 |