| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.58 | $34.58 | $34.58 | |
Aetna
| Professional | $34.58 | $34.58 | $34.58 | |
Cigna
| Professional | $35.40 | $35.40 | $35.40 | |
Regence BlueShield
| Facility | $3.87 | $4.29 | $5.49 | |
United
| Professional | $32.97 | $34.72 | $34.72 |