| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.35 | $26.35 | $26.35 |
Aetna
| Professional | $71.95 | $105.81 | $165.38 | |
Cigna
| Professional | $72.17 | $120.35 | $189.80 | |
Molina
| Professional | $45.85 | $58.93 | $77.63 | |
Regence BlueShield
| Facility | 26 | $198.33 | $198.33 | $198.33 |
Regence BlueShield
| Professional | $121.46 | $152.77 | $200.95 | |
United
| Professional | $83.48 | $98.19 | $154.19 |