| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $785.17 | $785.17 | $1,744.13 | |
Aetna
| Professional | $785.17 | $785.17 | $785.17 | |
Cigna
| Facility | $177.33 | $182.38 | $571.63 | |
Cigna
| Professional | $196.90 | $247.62 | $379.83 | |
Regence BlueShield
| Facility | $207.46 | $238.58 | $933.57 | |
Regence BlueShield
| Professional | $223.72 | $294.25 | $364.77 | |
United
| Professional | $87.13 | $118.87 | $124.48 |