| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.90 | $42.90 | $42.90 | |
Aetna
| Professional | $42.90 | $42.90 | $42.90 | |
Cigna
| Professional | $47.11 | $47.11 | $47.11 | |
Regence BlueShield
| Facility | $55.80 | $68.06 | $81.92 | |
United
| Professional | $50.47 | $57.03 | $60.56 |