| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $30.57 | $37.89 | |
Aetna
| Professional | $30.57 | $30.57 | $44.42 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Regence BlueShield
| Facility | $37.64 | $49.03 | $53.34 | |
United
| Professional | $32.46 | $38.61 | $41.00 |