| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.77 | $89.77 | $170.50 | |
Aetna
| Professional | $89.77 | $89.77 | $89.77 | |
Cigna
| Facility | $89.64 | $106.69 | $116.39 | |
Cigna
| Professional | $77.39 | $77.39 | $77.39 | |
Regence BlueShield
| Facility | $77.39 | $77.39 | $196.99 | |
United
| Professional | $77.39 | $77.39 | $86.68 |