| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.51 | $24.51 | $24.51 | |
Aetna
| Professional | $24.51 | $24.51 | $24.51 | |
Cigna
| Professional | $25.75 | $26.15 | $29.10 | |
Regence BlueShield
| Facility | $25.53 | $30.46 | $36.20 | |
United
| Professional | $19.07 | $26.50 | $30.47 |