| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.59 | $1,334.05 | $1,749.03 | |
Aetna
| Professional | $254.59 | $254.59 | $254.59 | |
Cigna
| Facility | $241.79 | $248.68 | $779.42 | |
Cigna
| Professional | $339.46 | $339.46 | $339.46 | |
Regence BlueShield
| Facility | $282.88 | $325.31 | $339.46 | |
Regence BlueShield
| Professional | $282.88 | $325.55 | $422.88 | |
United
| Professional | $118.81 | $118.81 | $169.73 |