| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $200.00 | $200.00 | $200.00 |
Aetna
| Professional | 26 | $200.00 | $200.00 | $200.00 |
Cigna
| Professional | 26 | $106.64 | $123.63 | $181.83 |
Regence BlueShield
| Facility | 26 | $2,694.22 | $2,694.22 | $2,694.22 |
Regence BlueShield
| Professional | 26 | $122.94 | $184.53 | $196.15 |
United
| Professional | 26 | $75.45 | $99.06 | $147.60 |