| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.25 | $46.25 | $79.36 | |
Aetna
| Professional | $46.25 | $46.25 | $46.25 | |
Cigna
| Facility | $44.98 | $51.00 | $58.65 | |
Cigna
| Professional | $39.86 | $39.86 | $39.86 | |
Regence BlueShield
| Facility | $39.86 | $39.86 | $100.01 | |
United
| Professional | $37.88 | $39.86 | $39.86 |