| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.15 | $36.15 | $36.15 |
Aetna
| Professional | $201.28 | $201.28 | $201.28 | |
Cigna
| Professional | $177.55 | $236.95 | $420.30 | |
Molina
| Professional | $32.60 | $177.19 | $236.97 | |
Regence BlueShield
| Facility | 26 | $686.36 | $686.36 | $686.36 |
Regence BlueShield
| Professional | $345.52 | $383.91 | $393.09 | |
United
| Professional | $159.13 | $227.00 | $444.00 |