| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.73 | $52.73 | $88.28 | |
Aetna
| Professional | $52.73 | $52.73 | $52.73 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Regence BlueShield
| Facility | $54.00 | $54.00 | $151.52 | |
United
| Professional | $52.94 | $52.94 | $59.29 |