| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.75 | $21.75 | $21.75 |
Aetna
| Professional | $64.97 | $79.54 | $96.52 | |
Cigna
| Professional | $60.06 | $116.76 | $191.77 | |
Molina
| Professional | $45.26 | $58.74 | $78.25 | |
Regence BlueShield
| Facility | 26 | $203.75 | $203.75 | $203.75 |
Regence BlueShield
| Professional | $95.24 | $130.32 | $182.42 | |
United
| Professional | $53.60 | $96.94 | $140.80 |