| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $517.89 | $517.89 | $1,917.36 | |
Aetna
| Professional | $517.89 | $1,607.70 | $2,272.21 | |
Cigna
| Facility | $1,832.24 | $1,884.46 | $5,906.37 | |
Cigna
| Professional | $2,033.32 | $2,463.13 | $3,922.27 | |
Regence BlueShield
| Facility | $2,143.60 | $2,465.14 | $8,681.58 | |
Regence BlueShield
| Professional | $667.05 | $2,108.03 | $2,569.56 | |
United
| Professional | $252.88 | $900.31 | $1,286.16 |