| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.84 | $88.13 | $88.13 | |
Aetna
| Professional | $88.13 | $88.13 | $88.13 | |
Cigna
| Facility | $82.05 | $97.10 | $111.67 | |
Cigna
| Professional | $75.97 | $75.97 | $75.97 | |
Regence BlueShield
| Facility | $119.28 | $153.15 | $213.53 | |
United
| Professional | $75.97 | $75.97 | $75.97 |