| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.71 | $29.71 | $29.71 | |
Aetna
| Professional | $29.71 | $29.71 | $36.00 | |
Cigna
| Professional | $29.33 | $29.33 | $29.33 | |
Regence BlueShield
| Facility | $19.89 | $24.28 | $29.21 | |
United
| Professional | $25.44 | $30.02 | $30.53 |