| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.67 | $14.67 | $14.67 |
Aetna
| Professional | $47.95 | $60.70 | $91.05 | |
Cigna
| Professional | $57.03 | $72.34 | $98.16 | |
Molina
| Professional | $23.65 | $29.37 | $38.52 | |
Regence BlueShield
| Facility | 26 | $253.98 | $253.98 | $253.98 |
Regence BlueShield
| Professional | $60.34 | $80.59 | $123.49 | |
United
| Professional | $46.81 | $63.43 | $90.61 |