| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.23 | $31.23 | $31.23 |
Aetna
| Professional | $112.86 | $117.18 | $743.69 | |
Cigna
| Professional | $98.26 | $137.53 | $263.08 | |
Molina
| Professional | $32.34 | $92.34 | $131.97 | |
Regence BlueShield
| Facility | 26 | $669.98 | $669.98 | $669.98 |
Regence BlueShield
| Professional | $187.27 | $199.93 | $225.42 | |
United
| Professional | $104.65 | $130.28 | $214.96 |