| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.91 | $11.91 | $11.91 | |
Aetna
| Professional | $11.91 | $11.91 | $11.91 | |
Cigna
| Facility | $11.80 | $14.68 | $15.33 | |
Cigna
| Professional | $10.27 | $10.27 | $10.27 | |
Regence BlueShield
| Facility | $13.04 | $20.28 | $29.55 | |
United
| Professional | $10.27 | $10.27 | $10.27 |