| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.88 | $56.88 | $100.83 | |
Aetna
| Professional | $56.88 | $56.88 | $56.88 | |
Cigna
| Facility | $57.81 | $69.78 | $75.06 | |
Cigna
| Professional | $49.03 | $49.03 | $49.03 | |
Regence BlueShield
| Facility | $74.77 | $101.14 | $145.19 | |
United
| Professional | $49.03 | $49.03 | $49.03 |