| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $82.25 | $82.25 | $82.25 |
Aetna
| Professional | $358.35 | $358.35 | $358.35 | |
Cigna
| Professional | $331.72 | $407.11 | $532.25 | |
Molina
| Professional | $52.59 | $162.83 | $235.83 | |
Regence BlueShield
| Facility | 26 | $686.36 | $686.36 | $686.36 |
Regence BlueShield
| Professional | $398.56 | $563.17 | $598.65 | |
United
| Professional | $253.39 | $298.10 | $495.60 |