| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.27 | $12.70 | $12.70 | |
Aetna
| Professional | $12.70 | $12.70 | $12.70 | |
Cigna
| Facility | $12.07 | $14.86 | $15.67 | |
Cigna
| Professional | $10.95 | $10.95 | $10.95 | |
Regence BlueShield
| Facility | $10.95 | $10.95 | $27.54 | |
United
| Professional | $10.40 | $10.95 | $10.95 |