| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $216.00 | $1,131.83 | $1,483.92 | |
Aetna
| Professional | $183.53 | $273.45 | $273.45 | |
Cigna
| Facility | $143.07 | $143.07 | $143.07 | |
Regence BlueShield
| Facility | $263.64 | $349.89 | $566.82 |