| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.72 | $49.96 | $23,866.17 | |
Aetna
| Professional | $24.72 | $24.72 | $11,620.44 | |
Cigna
| Facility | $25.35 | $29.94 | $32.90 | |
Cigna
| Professional | $21.31 | $21.31 | $21.31 | |
Regence BlueShield
| Facility | $21.31 | $21.31 | $61.24 | |
United
| Professional | $20.23 | $21.31 | $21.31 |