| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $40.77 | $69.47 | |
Aetna
| Professional | $20.00 | $24.59 | $33.47 | |
Cigna
| Professional | $22.10 | $22.10 | $22.10 | |
Regence BlueShield
| Facility | $25.53 | $31.89 | $35.56 | |
United
| Professional | $22.35 | $25.26 | $26.82 |