| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.35 | $1,296.10 | $1,699.29 | |
Aetna
| Professional | $247.35 | $247.35 | $247.35 | |
Cigna
| Facility | $234.91 | $241.61 | $757.25 | |
Cigna
| Professional | $329.80 | $329.80 | $329.80 | |
Regence BlueShield
| Facility | $274.83 | $316.05 | $329.80 | |
Regence BlueShield
| Professional | $274.83 | $316.36 | $410.94 | |
United
| Professional | $115.43 | $115.43 | $164.90 |