| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.95 | $11.95 | $11.95 | |
Aetna
| Professional | $11.95 | $11.95 | $11.95 | |
Cigna
| Facility | $12.00 | $14.71 | $24.51 | |
Cigna
| Professional | $10.30 | $10.30 | $10.30 | |
Regence BlueShield
| Facility | $16.52 | $22.48 | $32.28 | |
United
| Professional | $10.30 | $10.30 | $10.30 |