| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.62 | $461.62 | $11,099.86 | |
Aetna
| Professional | $461.62 | $461.62 | $461.62 | |
Cigna
| Facility | $701.48 | $701.48 | $701.48 | |
Cigna
| Professional | $506.88 | $506.88 | $506.88 | |
Regence BlueShield
| Facility | $531.65 | $673.61 | $951.72 | |
United
| Professional | $452.57 | $511.40 | $543.08 |