| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.22 | $2.22 | $2.22 | |
Aetna
| Professional | $2.22 | $2.22 | $2.22 | |
Cigna
| Professional | $2.27 | $2.27 | $2.27 | |
Regence BlueShield
| Facility | $3.13 | $4.20 | $6.03 | |
United
| Professional | $2.23 | $2.23 | $2.23 |