| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $260.73 | $292.66 | |
Aetna
| Professional | $0.05 | $0.05 | $0.05 | |
Cigna
| Professional | $34.69 | $34.69 | $43.37 | |
Regence BlueShield
| Professional | $19.54 | $23.88 | $27.93 | |
United
| Professional | $9.56 | $10.16 | $14.51 |