| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.01 | $21.88 | $21.88 | |
Aetna
| Professional | $21.88 | $21.88 | $21.88 | |
Cigna
| Facility | $21.12 | $23.94 | $27.53 | |
Cigna
| Professional | $18.86 | $18.86 | $18.86 | |
Regence BlueShield
| Facility | $18.86 | $18.86 | $47.93 | |
United
| Professional | $18.86 | $18.86 | $18.86 |