| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.00 | $550.00 | $1,527.18 | |
Aetna
| Professional | $517.29 | $550.00 | $605.00 | |
Cigna
| Facility | $143.07 | $143.07 | $143.07 | |
Regence BlueShield
| Facility | $246.73 | $323.85 | $471.95 |