| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.52 | $12.52 | $12.52 |
Aetna
| Professional | 26 | $8.72 | $11.29 | $24.14 |
Aetna
| Professional | TC | $12.39 | $17.04 | $29.48 |
Cigna
| Professional | 26 | $26.60 | $35.99 | $47.56 |
Cigna
| Professional | TC | $39.99 | $49.52 | $65.44 |
Regence BlueShield
| Professional | 26 | $39.50 | $48.82 | $53.86 |
Regence BlueShield
| Professional | TC | $59.92 | $70.48 | $79.68 |
United
| Professional | 26 | $20.17 | $29.65 | $31.83 |
United
| Professional | TC | $29.84 | $43.51 | $47.09 |