| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.23 | $31.23 | $31.23 |
Aetna
| Professional | $116.05 | $120.38 | $276.52 | |
Cigna
| Professional | $101.86 | $147.47 | $244.95 | |
Molina
| Professional | $32.34 | $92.34 | $131.97 | |
Regence BlueShield
| Facility | 26 | $669.98 | $669.98 | $669.98 |
Regence BlueShield
| Professional | $200.76 | $215.05 | $241.96 | |
United
| Professional | $107.41 | $128.47 | $211.99 |