| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.28 | $85.31 | $111.84 | |
Aetna
| Professional | $11.89 | $14.29 | $20.80 | |
Cigna
| Facility | $15.46 | $15.91 | $49.85 | |
Cigna
| Professional | $20.65 | $20.65 | $25.81 | |
Regence BlueShield
| Facility | $18.09 | $20.80 | $32.92 | |
Regence BlueShield
| Professional | $13.85 | $14.06 | $15.39 | |
United
| Professional | $7.60 | $7.60 | $10.85 |