| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.31 | $12.31 | $12.31 | |
Aetna
| Professional | $12.31 | $12.31 | $12.31 | |
Cigna
| Professional | $33.45 | $33.45 | $33.45 | |
Regence BlueShield
| Facility | $16.98 | $21.45 | $30.80 | |
United
| Professional | $10.62 | $10.62 | $10.62 |