| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $999.61 | $1,854.90 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Facility | $199.22 | $204.90 | $642.21 | |
Cigna
| Professional | $221.13 | $256.52 | $426.56 | |
Regence BlueShield
| Facility | $233.07 | $268.02 | $967.71 | |
Regence BlueShield
| Professional | $251.37 | $305.02 | $383.89 | |
United
| Professional | $97.89 | $123.22 | $139.84 |