| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.38 | $148.38 | $384.56 | |
Aetna
| Professional | $80.00 | $80.00 | $148.38 | |
Cigna
| Facility | $143.07 | $143.07 | $143.07 | |
Regence BlueShield
| Facility | $246.73 | $323.85 | $471.95 |