| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.65 | $1,103.81 | $1,447.17 | |
Aetna
| Professional | $210.65 | $210.65 | $210.65 | |
Cigna
| Facility | $148.44 | $152.66 | $478.50 | |
Cigna
| Professional | $104.71 | $198.41 | $319.32 | |
Regence BlueShield
| Facility | $173.66 | $199.71 | $748.48 | |
Regence BlueShield
| Professional | $187.45 | $235.90 | $296.92 | |
United
| Professional | $104.20 | $145.69 | $277.49 |