| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.68 | $12.68 | $12.68 | |
Aetna
| Professional | $12.68 | $12.68 | $12.68 | |
Cigna
| Professional | $11.97 | $11.97 | $11.97 | |
Regence BlueShield
| Facility | $13.31 | $14.76 | $18.92 | |
United
| Professional | $48.89 | $58.15 | $61.75 |