| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.70 | $56.38 | $75.15 | |
Aetna
| Professional | $75.15 | $75.15 | $75.15 | |
Cigna
| Professional | $80.88 | $80.88 | $80.88 | |
Regence BlueShield
| Facility | $50.18 | $107.58 | $107.58 | |
United
| Professional | $72.20 | $82.57 | $86.65 |