| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.10 | $50.10 | $105.23 | |
Aetna
| Professional | $50.10 | $50.10 | $50.10 | |
Cigna
| Facility | $50.26 | $57.30 | $65.90 | |
Cigna
| Professional | $43.19 | $43.19 | $43.19 | |
Regence BlueShield
| Facility | $43.19 | $43.19 | $119.48 | |
United
| Professional | $41.03 | $43.19 | $43.19 |