| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.59 | $13.59 | $13.59 | |
Aetna
| Professional | $13.59 | $13.59 | $13.59 | |
Cigna
| Professional | $13.91 | $13.91 | $13.91 | |
Regence BlueShield
| Facility | $26.54 | $36.72 | $52.72 | |
United
| Professional | $12.96 | $13.64 | $13.64 |