| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $761.64 | $3,990.99 | $5,232.47 | |
Aetna
| Professional | $761.64 | $761.64 | $761.64 | |
Cigna
| Facility | $723.36 | $743.97 | $2,331.79 | |
Cigna
| Professional | $1,015.52 | $1,015.52 | $1,015.52 | |
Regence BlueShield
| Facility | $846.27 | $973.21 | $1,015.52 | |
Regence BlueShield
| Professional | $846.27 | $973.59 | $1,264.65 | |
United
| Professional | $355.43 | $355.43 | $507.76 |