| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.00 | $245.00 | $600.62 | |
Aetna
| Professional | $132.88 | $132.88 | $245.00 | |
Cigna
| Facility | $45.39 | $45.39 | $45.39 | |
Regence BlueShield
| Facility | $82.20 | $103.83 | $149.72 |