| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.64 | $7,311.29 | $14,577.67 | |
Aetna
| Professional | $103.64 | $103.64 | $103.64 | |
Cigna
| Facility | $23.37 | $28.28 | $47.54 | |
Cigna
| Professional | $89.34 | $89.34 | $89.34 | |
Regence BlueShield
| Facility | $93.17 | $130.66 | $318.83 | |
United
| Professional | $84.87 | $89.34 | $99.45 |