| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.06 | $6,235.02 | $9,625.50 | |
Aetna
| Professional | $36.06 | $618.90 | $4,682.42 | |
Cigna
| Facility | $11.47 | $14.89 | $20.59 | |
Cigna
| Professional | $19.98 | $19.98 | $19.98 | |
Regence BlueShield
| Facility | $19.98 | $19.98 | $68.05 | |
United
| Professional | $38.09 | $40.09 | $40.09 |