| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.32 | $127.73 | $4,247.01 | |
Aetna
| Professional | $31.32 | $31.32 | $1,688.19 | |
Cigna
| Facility | $29.71 | $38.58 | $45.06 | |
Cigna
| Professional | $27.00 | $27.00 | $27.00 | |
Regence BlueShield
| Facility | $27.00 | $27.00 | $104.86 | |
United
| Professional | $27.00 | $27.00 | $27.00 |