| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.94 | $91.94 | $92.09 | |
Aetna
| Professional | $91.94 | $91.94 | $91.94 | |
Cigna
| Facility | $90.23 | $109.12 | $117.16 | |
Cigna
| Professional | $79.26 | $79.26 | $79.26 | |
Regence BlueShield
| Facility | $79.26 | $79.26 | $200.58 | |
United
| Professional | $75.30 | $79.26 | $79.26 |