| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.68 | $52.68 | $52.68 | |
Aetna
| Professional | $52.68 | $52.68 | $52.68 | |
Cigna
| Professional | $53.95 | $53.95 | $53.95 | |
Regence BlueShield
| Facility | $165.30 | $219.39 | $311.98 | |
United
| Professional | $52.89 | $52.89 | $52.89 |