| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.25 | $222.25 | $8,324.90 | |
Aetna
| Professional | $222.25 | $222.25 | $222.25 | |
Cigna
| Facility | $280.95 | $374.79 | $573.76 | |
Cigna
| Professional | $399.36 | $399.36 | $399.36 | |
Regence BlueShield
| Facility | $390.70 | $526.09 | $755.28 | |
United
| Professional | $211.14 | $251.14 | $266.70 |