| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.40 | $80.40 | $80.40 |
Aetna
| Professional | $358.48 | $373.35 | $653.32 | |
Cigna
| Professional | $420.63 | $463.61 | $664.40 | |
Molina
| Professional | $52.54 | $245.26 | $355.81 | |
Regence BlueShield
| Facility | 26 | $439.86 | $439.86 | $439.86 |
Regence BlueShield
| Professional | $544.79 | $641.41 | $709.86 | |
United
| Professional | $366.67 | $458.34 | $605.01 |