| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.85 | $24.35 | $24.35 | |
Aetna
| Professional | $24.35 | $24.35 | $24.35 | |
Cigna
| Facility | $25.36 | $28.88 | $32.92 | |
Cigna
| Professional | $20.99 | $20.99 | $20.99 | |
Regence BlueShield
| Facility | $20.99 | $20.99 | $57.78 | |
United
| Professional | $20.99 | $20.99 | $20.99 |