| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.63 | $47.69 | $47.69 | |
Aetna
| Professional | $47.69 | $47.69 | $47.69 | |
Cigna
| Facility | $48.69 | $58.01 | $65.84 | |
Cigna
| Professional | $41.11 | $41.11 | $41.11 | |
Regence BlueShield
| Facility | $41.11 | $41.11 | $120.31 | |
United
| Professional | $39.04 | $41.11 | $41.11 |