| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.86 | $24.86 | $31.78 | |
Aetna
| Professional | $24.86 | $27.79 | $40.99 | |
Cigna
| Professional | $27.44 | $27.44 | $27.44 | |
Regence BlueShield
| Facility | $33.74 | $39.51 | $48.19 | |
United
| Professional | $26.40 | $31.40 | $33.35 |