| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.36 | $2,993.93 | $3,925.24 | |
Aetna
| Professional | $571.36 | $571.36 | $571.36 | |
Cigna
| Facility | $542.63 | $558.10 | $1,749.22 | |
Cigna
| Professional | $761.81 | $761.81 | $761.81 | |
Regence BlueShield
| Facility | $653.89 | $730.07 | $761.81 | |
Regence BlueShield
| Professional | $657.34 | $730.38 | $948.73 | |
United
| Professional | $266.63 | $266.63 | $380.90 |