| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $19.20 | $19.20 | |
Aetna
| Professional | $19.20 | $19.20 | $19.20 | |
Cigna
| Professional | $11.89 | $11.89 | $11.89 | |
Regence BlueShield
| Facility | $15.03 | $16.66 | $21.35 | |
United
| Professional | $25.74 | $29.09 | $30.89 |