| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.20 | $1,394.94 | $1,828.86 | |
Aetna
| Professional | $266.20 | $266.20 | $266.20 | |
Cigna
| Facility | $252.82 | $260.02 | $814.99 | |
Cigna
| Professional | $135.96 | $307.02 | $540.98 | |
Regence BlueShield
| Facility | $295.79 | $340.16 | $1,197.95 | |
Regence BlueShield
| Professional | $290.88 | $319.24 | $354.71 | |
United
| Professional | $124.23 | $124.23 | $177.47 |