| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.92 | $24.92 | $26.23 | |
Aetna
| Professional | $24.92 | $24.92 | $24.92 | |
Cigna
| Facility | $28.05 | $33.27 | $38.97 | |
Cigna
| Professional | $21.48 | $21.48 | $21.48 | |
Regence BlueShield
| Facility | $35.04 | $46.50 | $62.73 | |
United
| Professional | $20.41 | $21.48 | $21.48 |