| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.73 | $64.73 | $64.73 |
Aetna
| Professional | $105.52 | $192.40 | $255.87 | |
Cigna
| Professional | $146.05 | $229.43 | $487.40 | |
Molina
| Professional | $32.57 | $67.28 | $135.78 | |
Regence BlueShield
| Facility | 26 | $5,208.22 | $5,208.22 | $5,208.22 |
Regence BlueShield
| Professional | $186.39 | $217.52 | $294.44 | |
United
| Professional | $140.38 | $186.53 | $332.02 |