| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.97 | $28.97 | $28.97 | |
Aetna
| Professional | $28.97 | $28.97 | $28.97 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Regence BlueShield
| Facility | $35.47 | $46.17 | $50.18 | |
United
| Professional | $30.76 | $36.59 | $38.86 |