| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.53 | $478.53 | $1,062.99 | |
Aetna
| Professional | $478.53 | $478.53 | $478.53 | |
Cigna
| Facility | $344.96 | $354.80 | $1,112.02 | |
Cigna
| Professional | $263.02 | $417.92 | $738.68 | |
Regence BlueShield
| Facility | $403.59 | $464.13 | $1,634.54 | |
Regence BlueShield
| Professional | $313.31 | $394.33 | $483.59 | |
United
| Professional | $126.57 | $169.51 | $242.15 |