| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.43 | $17.45 | $17.45 | |
Aetna
| Professional | $17.45 | $17.45 | $17.45 | |
Cigna
| Facility | $17.57 | $21.44 | $22.83 | |
Cigna
| Professional | $15.04 | $15.04 | $15.04 | |
Regence BlueShield
| Facility | $24.32 | $30.32 | $43.53 | |
United
| Professional | $14.29 | $15.04 | $15.04 |