| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.95 | $74.95 | $185.67 | |
Aetna
| Professional | $74.95 | $74.95 | $74.95 | |
Cigna
| Facility | $72.69 | $94.15 | $118.11 | |
Cigna
| Professional | $64.62 | $64.62 | $64.62 | |
Regence BlueShield
| Facility | $113.04 | $143.31 | $202.36 | |
United
| Professional | $61.39 | $64.62 | $64.62 |