| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.13 | $39.13 | $39.13 | |
Aetna
| Professional | $39.13 | $39.13 | $39.13 | |
Cigna
| Professional | $41.64 | $41.64 | $41.64 | |
Regence BlueShield
| Facility | $33.49 | $37.11 | $47.57 | |
United
| Professional | $44.78 | $47.14 | $47.14 |