| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.87 | $73.87 | $114.09 | |
Aetna
| Professional | $73.87 | $73.87 | $73.87 | |
Cigna
| Facility | $66.40 | $80.65 | $86.22 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
Regence BlueShield
| Facility | $63.68 | $63.68 | $160.60 | |
United
| Professional | $63.68 | $63.68 | $71.31 |