| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.68 | $36.29 | $107.59 | |
Aetna
| Professional | $22.35 | $23.22 | $31.09 | |
Cigna
| Professional | $22.95 | $22.95 | $22.95 | |
Regence BlueShield
| Facility | $15.14 | $18.55 | $22.22 | |
United
| Professional | $19.82 | $23.58 | $25.04 |