| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.99 | $26.99 | $67.31 | |
Aetna
| Professional | $26.99 | $26.99 | $26.99 | |
Cigna
| Professional | $27.64 | $27.64 | $27.64 | |
Regence BlueShield
| Facility | $27.48 | $30.46 | $39.04 | |
United
| Professional | $27.10 | $27.10 | $27.10 |