| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.22 | $1,421.19 | $1,863.28 | |
Aetna
| Professional | $271.22 | $271.22 | $271.22 | |
Cigna
| Facility | $257.58 | $264.92 | $830.34 | |
Cigna
| Professional | $361.62 | $361.62 | $361.62 | |
Regence BlueShield
| Facility | $301.35 | $346.55 | $361.62 | |
Regence BlueShield
| Professional | $301.35 | $346.62 | $450.24 | |
United
| Professional | $126.57 | $126.57 | $180.81 |