| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.63 | $24.63 | $24.63 | |
Aetna
| Professional | $24.63 | $24.63 | $24.63 | |
Cigna
| Professional | $28.21 | $28.21 | $28.21 | |
Regence BlueShield
| Facility | $33.97 | $42.88 | $61.57 | |
United
| Professional | $21.23 | $21.23 | $21.23 |