| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $774.75 | $774.75 | $774.75 | |
Aetna
| Professional | $774.75 | $774.75 | $774.75 | |
Cigna
| Professional | $793.42 | $793.42 | $793.42 | |
Regence BlueShield
| Facility | $1,187.08 | $1,499.43 | $3,023.03 | |
United
| Professional | $777.86 | $777.86 | $777.86 |