| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.77 | $45.77 | $45.77 | |
Aetna
| Professional | $45.77 | $45.77 | $45.77 | |
Cigna
| Professional | $46.87 | $46.87 | $46.87 | |
Regence BlueShield
| Facility | $59.77 | $82.70 | $118.73 | |
United
| Professional | $45.95 | $45.95 | $45.95 |