| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.82 | $1,901.18 | $2,492.57 | |
Aetna
| Professional | $225.00 | $225.00 | $407.04 | |
Cigna
| Facility | $143.07 | $143.07 | $143.07 | |
Cigna
| Professional | $104.49 | $104.49 | $130.61 | |
Regence BlueShield
| Facility | $246.73 | $323.85 | $471.95 |