| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.35 | $37.35 | $37.35 | |
Aetna
| Professional | $37.35 | $37.35 | $37.35 | |
Regence BlueShield
| Facility | $69.72 | $96.35 | $122.89 | |
Regence BlueShield
| Professional | $35.50 | $35.50 | $57.71 | |
United
| Professional | $36.45 | $38.54 | $58.58 |