| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $14.00 | $14.00 | |
Aetna
| Professional | $14.00 | $14.00 | $14.00 | |
Cigna
| Professional | $14.67 | $15.38 | $16.21 | |
Regence BlueShield
| Facility | $14.28 | $17.62 | $20.95 | |
United
| Professional | $11.16 | $15.50 | $18.00 |