| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $200.00 | $200.00 | $200.00 |
Aetna
| Professional | 26 | $27.32 | $133.87 | $302.00 |
Cigna
| Professional | 26 | $34.08 | $43.46 | $62.39 |
Regence BlueShield
| Professional | 26 | $42.14 | $57.69 | $65.00 |
United
| Professional | 26 | $25.41 | $37.44 | $52.80 |