| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.06 | $36.17 | $8,719.29 | |
Aetna
| Professional | $36.06 | $36.06 | $4,521.63 | |
Cigna
| Facility | $35.71 | $43.20 | $47.03 | |
Cigna
| Professional | $31.09 | $31.09 | $31.09 | |
Regence BlueShield
| Facility | $31.09 | $31.09 | $88.86 | |
United
| Professional | $31.09 | $31.09 | $31.09 |