| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.58 | $12.58 | $12.58 | |
Aetna
| Professional | $12.58 | $12.58 | $12.58 | |
Cigna
| Professional | $12.89 | $12.89 | $12.89 | |
Regence BlueShield
| Facility | $9.39 | $13.29 | $19.07 | |
United
| Professional | $11.81 | $12.43 | $12.43 |