| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.48 | $401.48 | $401.59 | |
Aetna
| Professional | $401.48 | $401.48 | $401.48 | |
Cigna
| Facility | $396.44 | $475.59 | $514.73 | |
Cigna
| Professional | $346.11 | $346.11 | $346.11 | |
Regence BlueShield
| Facility | $536.59 | $688.96 | $960.57 | |
United
| Professional | $346.11 | $346.11 | $346.11 |