| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.77 | $8.77 | $8.77 | |
Aetna
| Professional | $8.77 | $8.77 | $8.77 | |
Cigna
| Facility | $10.88 | $10.88 | $10.88 | |
Cigna
| Professional | $6.77 | $6.77 | $6.77 | |
Regence BlueShield
| Facility | $8.21 | $9.40 | $11.83 | |
United
| Professional | $7.57 | $7.57 | $7.57 |