| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $219.33 | $1,149.29 | $1,506.80 | |
Aetna
| Professional | $219.33 | $219.33 | $219.33 | |
Cigna
| Facility | $148.02 | $152.22 | $477.14 | |
Cigna
| Professional | $109.08 | $206.54 | $332.70 | |
Regence BlueShield
| Facility | $173.17 | $199.15 | $779.30 | |
Regence BlueShield
| Professional | $186.73 | $245.63 | $304.45 | |
United
| Professional | $103.90 | $147.16 | $288.93 |