| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $855.00 | $4,480.20 | $5,873.85 | |
Aetna
| Professional | $627.00 | $750.50 | $1,092.50 | |
Cigna
| Facility | $812.01 | $835.16 | $2,617.58 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
Regence BlueShield
| Facility | $950.00 | $1,092.50 | $1,729.00 | |
Regence BlueShield
| Professional | $727.18 | $743.29 | $807.98 | |
United
| Professional | $399.00 | $399.00 | $570.00 |