| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.57 | $201.84 | $224.17 | |
Aetna
| Professional | $61.57 | $61.57 | $61.57 | |
Cigna
| Professional | $47.49 | $47.49 | $47.49 | |
Regence BlueShield
| Facility | $84.96 | $107.22 | $153.93 | |
United
| Professional | $53.08 | $53.08 | $53.08 |