| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $109.35 | $109.35 | $109.35 |
Aetna
| Professional | $168.55 | $219.49 | $531.65 | |
Cigna
| Professional | $205.24 | $299.33 | $466.38 | |
Molina
| Professional | $80.09 | $146.85 | $253.92 | |
Regence BlueShield
| Facility | 26 | $324.95 | $324.95 | $324.95 |
Regence BlueShield
| Professional | $357.69 | $420.81 | $450.36 | |
United
| Professional | $205.90 | $252.63 | $407.50 |