| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.15 | $75.15 | $75.15 |
Aetna
| Professional | 26 | $44.68 | $250.00 | $265.00 |
Cigna
| Professional | 26 | $24.65 | $27.55 | $58.75 |
Moda Health
| Professional | 26 | $45.90 | $48.69 | $55.64 |
Regence BlueShield
| Professional | 26 | $54.61 | $58.23 | $71.15 |
United
| Professional | 26 | $25.46 | $33.44 | $55.43 |