| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.00 | $55.25 | $74.98 | |
Aetna
| Professional | 26 | $9.18 | $24.67 | $79.98 |
Aetna
| Professional | TC | $40.00 | $44.33 | $55.27 |
Cigna
| Professional | $28.05 | $46.05 | $91.00 | |
Cigna
| Professional | 26 | $5.30 | $13.76 | $24.10 |
Cigna
| Professional | TC | $22.76 | $34.13 | $69.31 |
Regence BlueShield
| Professional | $46.32 | $51.47 | $70.50 | |
Regence BlueShield
| Professional | 26 | $11.85 | $13.17 | $19.32 |
Regence BlueShield
| Professional | TC | $34.47 | $38.29 | $50.98 |
United
| Professional | $25.12 | $41.86 | $83.72 | |
United
| Professional | 26 | $7.09 | $7.15 | $17.42 |
United
| Professional | TC | $17.97 | $32.95 | $59.90 |