| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.84 | $21.84 | $21.84 | |
Aetna
| Professional | $21.84 | $21.84 | $21.84 | |
Cigna
| Professional | $21.05 | $21.05 | $21.05 | |
Regence BlueShield
| Facility | $26.63 | $29.52 | $37.82 | |
United
| Professional | $20.00 | $21.05 | $21.05 |