| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.24 | $31.24 | $31.24 |
Aetna
| Professional | $161.96 | $172.56 | $206.34 | |
Cigna
| Professional | $157.16 | $206.42 | $370.67 | |
Molina
| Professional | $32.34 | $123.13 | $168.84 | |
Regence BlueShield
| Facility | 26 | $481.30 | $481.30 | $481.30 |
Regence BlueShield
| Professional | $201.96 | $256.27 | $346.28 | |
United
| Professional | $114.55 | $177.75 | $265.01 |