| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.25 | $776.25 | $776.25 | |
Aetna
| Professional | $741.31 | $776.25 | $933.25 | |
Cigna
| Professional | $794.33 | $794.33 | $794.33 | |
Regence BlueShield
| Facility | $1,174.90 | $1,479.11 | $2,818.38 | |
Select Health
| Professional | $724.44 | $870.96 | $870.96 |