| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.54 | $19.54 | $34.58 | |
Aetna
| Professional | $19.54 | $19.54 | $19.54 | |
Cigna
| Facility | $19.43 | $23.28 | $25.23 | |
Cigna
| Professional | $16.84 | $16.84 | $16.84 | |
Regence BlueShield
| Facility | $16.84 | $16.84 | $43.93 | |
United
| Professional | $16.00 | $16.84 | $18.86 |