| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $332.17 | $1,740.57 | $2,282.01 | |
Aetna
| Professional | $283.45 | $299.83 | $381.65 | |
Cigna
| Facility | $45.39 | $45.39 | $45.39 | |
Cigna
| Professional | $109.45 | $109.45 | $136.81 | |
Regence BlueShield
| Facility | $82.20 | $103.83 | $149.72 |