| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.30 | $16.30 | $16.30 | |
Aetna
| Professional | $16.30 | $16.30 | $16.30 | |
Cigna
| Professional | $13.99 | $13.99 | $13.99 | |
Regence BlueShield
| Facility | $15.14 | $18.55 | $22.22 | |
United
| Professional | $13.38 | $15.12 | $16.05 |