| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.42 | $58.42 | $65.06 | |
Aetna
| Professional | $58.42 | $58.42 | $58.42 | |
Cigna
| Facility | $70.20 | $85.47 | $91.16 | |
Cigna
| Professional | $50.37 | $50.37 | $50.37 | |
Regence BlueShield
| Facility | $89.61 | $121.20 | $174.00 | |
United
| Professional | $47.85 | $50.37 | $56.07 |