| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.80 | $4,889.99 | $18,092.43 | |
Aetna
| Professional | $56.80 | $56.80 | $56.80 | |
Cigna
| Facility | $57.33 | $69.01 | $74.43 | |
Cigna
| Professional | $48.96 | $48.96 | $48.96 | |
Regence BlueShield
| Facility | $48.96 | $48.96 | $136.72 | |
United
| Professional | $46.51 | $48.96 | $54.84 |