| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.84 | $39.84 | $39.84 | |
Aetna
| Professional | $39.84 | $39.84 | $39.84 | |
Cigna
| Professional | $42.40 | $42.40 | $42.40 | |
Regence BlueShield
| Facility | $12.45 | $13.80 | $17.69 | |
United
| Professional | $47.50 | $50.00 | $50.00 |