| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.84 | $27.84 | $51.59 | |
Aetna
| Professional | $27.84 | $27.84 | $27.84 | |
Cigna
| Facility | $27.94 | $34.78 | $36.27 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
Regence BlueShield
| Facility | $39.15 | $50.07 | $69.80 | |
United
| Professional | $22.80 | $24.00 | $24.00 |