| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.75 | $197.75 | $1,008.35 | |
Aetna
| Professional | $197.75 | $197.75 | $197.75 | |
Cigna
| Facility | $578.08 | $697.77 | $750.57 | |
Cigna
| Professional | $170.48 | $170.48 | $170.48 | |
Regence BlueShield
| Facility | $747.76 | $1,011.43 | $1,452.06 | |
United
| Professional | $161.96 | $170.48 | $170.48 |