| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.03 | $0.04 | |
Aetna
| Professional | $0.02 | $0.02 | $0.03 | |
Cigna
| Professional | $12.39 | $12.39 | $15.49 | |
Premera BCBS
| Professional | $20.14 | $30.21 | $30.21 | |
Providence
| Professional | $30.21 | $30.21 | $30.21 |