| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $540.00 | $2,829.60 | $3,709.80 | |
Aetna
| Professional | $540.00 | $540.00 | $540.00 | |
Cigna
| Facility | $512.85 | $527.47 | $1,653.21 | |
Cigna
| Professional | $720.00 | $720.00 | $720.00 | |
Regence BlueShield
| Facility | $600.00 | $690.00 | $720.00 | |
Regence BlueShield
| Professional | $600.00 | $690.17 | $896.50 | |
United
| Professional | $252.00 | $252.00 | $600.00 |