| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.29 | $64.29 | $64.29 |
Aetna
| Professional | $113.87 | $182.21 | $648.00 | |
Cigna
| Professional | $126.89 | $162.19 | $239.51 | |
Molina
| Professional | $32.34 | $65.98 | $98.98 | |
Regence BlueShield
| Facility | 26 | $198.33 | $198.33 | $198.33 |
Regence BlueShield
| Professional | $172.02 | $214.03 | $251.80 | |
United
| Professional | $122.51 | $127.41 | $211.24 |