| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.46 | $63.46 | $154.29 | |
Aetna
| Professional | $63.46 | $63.46 | $63.46 | |
Cigna
| Facility | $65.45 | $81.13 | $84.98 | |
Cigna
| Professional | $54.71 | $54.71 | $54.71 | |
Regence BlueShield
| Facility | $89.88 | $112.07 | $160.88 | |
United
| Professional | $54.71 | $54.71 | $54.71 |