| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.52 | $295.52 | $656.48 | |
Aetna
| Professional | $295.52 | $295.52 | $295.52 | |
Cigna
| Facility | $345.77 | $355.62 | $1,114.59 | |
Cigna
| Professional | $286.79 | $418.99 | $739.88 | |
Regence BlueShield
| Facility | $404.52 | $465.20 | $1,638.31 | |
Regence BlueShield
| Professional | $341.38 | $429.66 | $484.79 | |
United
| Professional | $137.91 | $169.90 | $242.71 |