| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.00 | $47.20 | $56.64 | |
Aetna
| Professional | 26 | $5.75 | $16.14 | $34.90 |
Aetna
| Professional | TC | $40.25 | $41.79 | $100.32 |
Cigna
| Professional | $22.18 | $34.22 | $76.41 | |
Cigna
| Professional | 26 | $3.18 | $8.27 | $14.59 |
Cigna
| Professional | TC | $18.98 | $26.25 | $62.06 |
Regence BlueShield
| Professional | $35.90 | $39.90 | $48.88 | |
Regence BlueShield
| Professional | 26 | $7.18 | $7.98 | $11.89 |
Regence BlueShield
| Professional | TC | $28.73 | $31.92 | $36.70 |
United
| Professional | $18.84 | $31.40 | $62.80 | |
United
| Professional | 26 | $4.07 | $4.51 | $9.39 |
United
| Professional | TC | $14.51 | $15.86 | $48.36 |