| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.07 | $18.64 | $18.64 | |
Aetna
| Professional | $18.64 | $18.64 | $18.64 | |
Cigna
| Facility | $25.19 | $30.87 | $51.45 | |
Cigna
| Professional | $16.07 | $16.07 | $16.07 | |
Regence BlueShield
| Facility | $79.41 | $105.39 | $145.68 | |
United
| Professional | $16.07 | $16.07 | $16.07 |