| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.44 | $30.44 | $30.44 | |
Aetna
| Professional | $30.44 | $30.44 | $30.44 | |
Cigna
| Professional | $33.42 | $33.42 | $33.42 | |
Regence BlueShield
| Facility | $245.25 | $288.52 | $309.77 | |
United
| Professional | $30.74 | $35.81 | $36.89 |