| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.06 | $21.06 | $21.33 | |
Aetna
| Professional | $21.06 | $21.06 | $21.06 | |
Cigna
| Facility | $20.70 | $24.99 | $26.87 | |
Cigna
| Professional | $18.14 | $18.14 | $18.14 | |
Regence BlueShield
| Facility | $18.14 | $18.14 | $44.98 | |
United
| Professional | $18.14 | $18.14 | $20.32 |