| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.34 | $9.34 | $9.34 | |
Aetna
| Professional | $9.34 | $9.34 | $9.34 | |
Cigna
| Professional | $10.33 | $10.33 | $10.33 | |
Regence BlueShield
| Facility | $12.55 | $14.76 | $17.14 | |
United
| Professional | $9.92 | $11.80 | $12.53 |