| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $303.30 | $303.30 | $1,724.80 | |
Aetna
| Professional | $303.30 | $303.30 | $303.30 | |
Cigna
| Professional | $310.61 | $310.61 | $310.61 | |
Regence BlueShield
| Facility | $295.39 | $466.18 | $669.26 | |
United
| Professional | $283.39 | $298.30 | $298.30 |