| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.19 | $33.19 | $417.67 | |
Aetna
| Professional | $33.19 | $33.19 | $33.19 | |
Cigna
| Facility | $29.66 | $33.49 | $38.51 | |
Cigna
| Professional | $28.61 | $28.61 | $28.61 | |
Regence BlueShield
| Facility | $67.45 | $79.14 | $109.91 | |
United
| Professional | $28.61 | $28.61 | $28.61 |