| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $200.00 | $200.00 | $2,896.30 |
Aetna
| Professional | 26 | $82.28 | $200.00 | $293.72 |
Cigna
| Professional | 26 | $101.67 | $129.69 | $189.30 |
Regence BlueShield
| Facility | 26 | $4,095.91 | $4,095.91 | $4,095.91 |
Regence BlueShield
| Professional | 26 | $127.90 | $171.76 | $193.74 |
United
| Professional | 26 | $75.67 | $94.55 | $157.19 |