| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $114.66 | $114.66 | $114.66 |
Aetna
| Professional | $128.35 | $177.06 | $260.77 | |
Cigna
| Professional | $171.87 | $220.69 | $299.27 | |
Molina
| Professional | $51.96 | $89.27 | $158.33 | |
Regence BlueShield
| Facility | 26 | $887.76 | $887.76 | $887.76 |
Regence BlueShield
| Professional | $262.94 | $343.70 | $468.13 | |
United
| Professional | $142.40 | $197.37 | $242.01 |