| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.07 | $602.97 | $790.53 | |
Aetna
| Professional | $115.07 | $246.23 | $246.23 | |
Cigna
| Facility | $143.07 | $143.07 | $143.07 | |
Regence BlueShield
| Facility | $246.73 | $323.85 | $471.95 | |
Regence BlueShield
| Professional | $54.00 | $66.48 | $78.20 |