| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.13 | $36.13 | $36.13 | |
Aetna
| Professional | $36.13 | $36.13 | $36.13 | |
Cigna
| Professional | $40.71 | $40.71 | $40.71 | |
Regence BlueShield
| Facility | $51.06 | $70.64 | $101.41 | |
United
| Professional | $39.90 | $39.90 | $39.90 |