| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.22 | $21.22 | $1,785.01 | |
Aetna
| Professional | $21.22 | $21.22 | $21.22 | |
Cigna
| Facility | $21.06 | $25.65 | $27.34 | |
Cigna
| Professional | $18.30 | $18.30 | $18.30 | |
Regence BlueShield
| Facility | $27.52 | $36.02 | $51.71 | |
United
| Professional | $18.30 | $18.30 | $18.30 |