| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.85 | $100.79 | $8,239.93 | |
Aetna
| Professional | $58.85 | $58.85 | $58.85 | |
Cigna
| Facility | $57.65 | $70.20 | $74.84 | |
Cigna
| Professional | $50.74 | $50.74 | $50.74 | |
Regence BlueShield
| Facility | $50.74 | $50.74 | $129.57 | |
United
| Professional | $48.20 | $50.74 | $56.83 |