| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.70 | $381.70 | $381.76 | |
Aetna
| Professional | $381.70 | $381.70 | $381.70 | |
Cigna
| Facility | $372.01 | $455.11 | $483.02 | |
Cigna
| Professional | $329.05 | $329.05 | $329.05 | |
Regence BlueShield
| Facility | $494.83 | $643.35 | $923.62 | |
United
| Professional | $312.60 | $329.05 | $329.05 |