| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $861.76 | $868.66 | $868.66 | |
Aetna
| Professional | $748.85 | $868.66 | $868.66 | |
Cigna
| Facility | $836.88 | $995.53 | $1,086.58 | |
Cigna
| Professional | $748.84 | $748.84 | $748.84 | |
Regence BlueShield
| Facility | $1,031.01 | $1,426.46 | $2,047.89 | |
United
| Professional | $748.85 | $748.85 | $748.85 |