| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.13 | $55.13 | $94.33 | |
Aetna
| Professional | $55.13 | $55.13 | $55.13 | |
Cigna
| Facility | $57.67 | $65.77 | $74.88 | |
Cigna
| Professional | $47.52 | $47.52 | $47.52 | |
Regence BlueShield
| Facility | $47.53 | $47.53 | $119.12 | |
United
| Professional | $47.53 | $47.53 | $53.23 |