| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $19.05 | $19.05 | $21.88 | |
Cigna
| Professional | $21.38 | $21.38 | $21.38 | |
Regence BlueShield
| Facility | $22.91 | $27.54 | $38.90 | |
Select Health
| Professional | $57.54 | $57.54 | $66.07 | |
United
| Professional | $22.91 | $25.70 | $27.54 |