| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $19.95 | $19.95 | |
Aetna
| Professional | $19.05 | $19.95 | $23.99 | |
Regence BlueShield
| Facility | $24.55 | $33.88 | $54.95 | |
Select Health
| Professional | $21.88 | $21.88 | $38.02 | |
United
| Professional | $19.50 | $19.50 | $19.50 |