| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.17 | $3,911.87 | $12,812.09 | |
Aetna
| Professional | $35.17 | $35.17 | $35.17 | |
Cigna
| Facility | $28.79 | $32.63 | $37.53 | |
Cigna
| Professional | $30.32 | $30.32 | $30.32 | |
Regence BlueShield
| Facility | $248.36 | $700.46 | $1,005.60 | |
United
| Professional | $30.32 | $30.32 | $33.75 |