| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.56 | $4,473.24 | $21,613.57 | |
Aetna
| Professional | $52.56 | $52.56 | $8,523.79 | |
Cigna
| Facility | $54.35 | $63.86 | $70.56 | |
Cigna
| Professional | $45.31 | $45.31 | $45.31 | |
Regence BlueShield
| Facility | $45.31 | $45.31 | $124.28 | |
United
| Professional | $45.31 | $45.31 | $50.75 |