| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.40 | $91.40 | $1,692.62 | |
Aetna
| Professional | $91.40 | $91.40 | $91.40 | |
Cigna
| Facility | $95.26 | $114.79 | $123.68 | |
Cigna
| Professional | $78.79 | $78.79 | $78.79 | |
Regence BlueShield
| Facility | $78.80 | $78.80 | $209.98 | |
United
| Professional | $74.86 | $78.80 | $88.26 |