| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $128.00 | $128.00 | $128.00 |
Aetna
| Professional | $278.80 | $475.00 | $856.29 | |
Cigna
| Professional | $260.76 | $541.58 | $820.21 | |
Molina
| Professional | $79.95 | $173.89 | $261.12 | |
Regence BlueShield
| Facility | 26 | $669.98 | $669.98 | $669.98 |
Regence BlueShield
| Professional | $410.45 | $479.00 | $805.37 | |
United
| Professional | $267.50 | $396.49 | $650.00 |