| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.50 | $17.53 | $17.53 | |
Aetna
| Professional | $17.53 | $17.53 | $17.53 | |
Cigna
| Facility | $17.23 | $20.94 | $22.38 | |
Cigna
| Professional | $15.11 | $15.11 | $15.11 | |
Regence BlueShield
| Facility | $21.40 | $29.61 | $42.51 | |
United
| Professional | $15.08 | $15.11 | $15.11 |