| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.08 | $2,489.42 | $3,263.80 | |
Aetna
| Professional | $475.08 | $475.08 | $475.08 | |
Cigna
| Facility | $451.20 | $464.06 | $1,454.49 | |
Cigna
| Professional | $633.44 | $633.44 | $633.44 | |
Regence BlueShield
| Facility | $527.87 | $607.04 | $633.44 | |
Regence BlueShield
| Professional | $527.87 | $607.44 | $789.04 | |
United
| Professional | $221.71 | $221.71 | $316.72 |