| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.16 | $6.16 | $6.16 | |
Aetna
| Professional | $6.16 | $6.16 | $6.16 | |
Cigna
| Professional | $4.76 | $4.76 | $4.76 | |
Regence BlueShield
| Facility | $6.01 | $6.66 | $8.52 | |
United
| Professional | $4.76 | $4.76 | $4.76 |