| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.36 | $19.36 | $19.36 | |
Aetna
| Professional | $19.36 | $19.36 | $19.36 | |
Cigna
| Professional | $21.40 | $21.40 | $21.40 | |
Regence BlueShield
| Facility | $23.16 | $27.25 | $38.72 | |
United
| Professional | $21.64 | $25.74 | $27.34 |