| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.21 | $4.21 | $4.21 | |
Aetna
| Professional | $4.21 | $4.21 | $4.21 | |
Cigna
| Facility | $10.42 | $12.03 | $16.57 | |
Cigna
| Professional | $3.63 | $3.63 | $3.63 | |
Regence BlueShield
| Facility | $16.67 | $22.12 | $35.78 | |
United
| Professional | $3.63 | $3.63 | $3.63 |