| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.12 | $1,693.15 | $2,219.83 | |
Aetna
| Professional | $323.12 | $323.12 | $323.12 | |
Cigna
| Facility | $164.39 | $169.07 | $529.91 | |
Cigna
| Professional | $88.34 | $206.54 | $351.67 | |
Regence BlueShield
| Facility | $192.32 | $221.17 | $778.90 | |
Regence BlueShield
| Professional | $189.13 | $230.62 | $260.63 | |
United
| Professional | $75.48 | $80.77 | $115.39 |