| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.79 | $12.81 | $12.81 | |
Aetna
| Professional | $12.81 | $12.81 | $12.81 | |
Cigna
| Facility | $12.33 | $15.37 | $18.04 | |
Cigna
| Professional | $11.04 | $11.04 | $11.04 | |
Regence BlueShield
| Facility | $11.04 | $11.04 | $35.88 | |
United
| Professional | $11.04 | $11.04 | $11.04 |