| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.67 | $52.67 | $52.67 |
Aetna
| Professional | $58.24 | $65.45 | $73.13 | |
Aetna
| Professional | 26 | $40.31 | $45.26 | $52.67 |
Cigna
| Professional | $75.54 | $88.95 | $137.74 | |
Cigna
| Professional | 26 | $52.53 | $64.23 | $96.35 |
Molina
| Professional | $25.04 | $38.52 | $66.66 | |
Regence BlueShield
| Facility | 26 | $203.75 | $203.75 | $203.75 |
Regence BlueShield
| Professional | $73.83 | $91.05 | $113.87 | |
Regence BlueShield
| Professional | 26 | $50.49 | $65.50 | $82.26 |
United
| Professional | $57.60 | $79.20 | $108.00 | |
United
| Professional | 26 | $38.72 | $54.46 | $77.23 |