| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.99 | $202.85 | $833.31 | |
Aetna
| Professional | $34.99 | $34.99 | $194.54 | |
Cigna
| Facility | $35.97 | $42.02 | $46.72 | |
Cigna
| Professional | $30.17 | $30.17 | $30.17 | |
Regence BlueShield
| Facility | $65.28 | $82.45 | $147.68 | |
United
| Professional | $30.17 | $30.17 | $30.17 |