| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $226.80 | $226.80 | $226.80 |
Aetna
| Professional | 26 | $90.00 | $250.00 | $265.00 |
Cigna
| Professional | 26 | $73.62 | $82.28 | $174.68 |
Moda Health
| Professional | 26 | $138.24 | $146.62 | $167.56 |
Regence BlueShield
| Facility | 26 | $4,365.97 | $4,365.97 | $4,365.97 |
Regence BlueShield
| Professional | 26 | $164.47 | $176.73 | $214.30 |
United
| Professional | 26 | $75.81 | $99.56 | $178.16 |