| 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 | $244.53 |
Cigna
| Professional | 26 | $121.41 | $145.25 | $219.37 |
Regence BlueShield
| Facility | 26 | $2,694.22 | $2,694.22 | $2,694.22 |
Regence BlueShield
| Professional | 26 | $148.22 | $227.00 | $241.30 |
United
| Professional | 26 | $92.34 | $119.44 | $180.60 |