| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $375.10 | $1,965.52 | $2,576.94 | |
Aetna
| Professional | $375.10 | $375.10 | $375.10 | |
Cigna
| Facility | $356.25 | $366.40 | $1,148.39 | |
Cigna
| Professional | $500.14 | $500.14 | $500.14 | |
Regence BlueShield
| Facility | $429.28 | $479.30 | $500.14 | |
Regence BlueShield
| Professional | $431.57 | $479.52 | $622.87 | |
United
| Professional | $175.05 | $175.05 | $250.07 |