| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.47 | $432.40 | $5,294.97 | |
Aetna
| Professional | $226.22 | $432.40 | $432.40 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Regence BlueShield
| Facility | $553.52 | $699.16 | $1,006.24 |