| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.20 | $28.20 | $28.20 | |
Aetna
| Professional | $28.20 | $28.20 | $28.20 | |
Cigna
| Professional | $28.88 | $28.88 | $28.88 | |
Regence BlueShield
| Facility | $48.56 | $60.64 | $87.06 | |
United
| Professional | $28.32 | $28.32 | $28.32 |