| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.29 | $76.29 | $76.29 | |
Aetna
| Professional | $3.44 | $76.29 | $76.29 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Regence BlueShield
| Facility | $114.92 | $146.97 | $214.19 |