| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.53 | $198.93 | $606.61 | |
Aetna
| Professional | 26 | $70.61 | $209.07 | $836.28 |
Aetna
| Professional | TC | $125.92 | $131.18 | $472.25 |
Cigna
| Professional | $97.29 | $271.87 | $610.08 | |
Cigna
| Professional | 26 | $38.39 | $99.81 | $192.72 |
Cigna
| Professional | TC | $58.90 | $194.72 | $436.96 |
Regence BlueShield
| Professional | $310.27 | $344.74 | $468.49 | |
Regence BlueShield
| Professional | 26 | $85.10 | $94.56 | $142.76 |
Regence BlueShield
| Professional | TC | $225.15 | $250.17 | $325.70 |
United
| Professional | $124.64 | $187.33 | $388.29 | |
United
| Professional | 26 | $48.59 | $86.62 | $155.91 |
United
| Professional | TC | $116.93 | $194.88 | $350.78 |