| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.30 | $77.30 | $83.13 | |
Aetna
| Professional | $77.30 | $77.30 | $77.30 | |
Cigna
| Facility | $75.90 | $92.99 | $155.00 | |
Cigna
| Professional | $66.64 | $66.64 | $66.64 | |
Regence BlueShield
| Facility | $101.70 | $130.58 | $182.06 | |
United
| Professional | $63.31 | $66.64 | $74.64 |