| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.93 | $28.93 | $28.93 |
Aetna
| Professional | $86.51 | $191.80 | $668.46 | |
Cigna
| Professional | $120.66 | $191.00 | $440.58 | |
Molina
| Professional | $32.34 | $66.87 | $134.78 | |
Regence BlueShield
| Facility | 26 | $8,682.07 | $8,682.07 | $8,682.07 |
Regence BlueShield
| Professional | $156.15 | $191.27 | $245.03 | |
United
| Professional | $117.29 | $154.19 | $267.27 |