| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.72 | $707.72 | $707.72 | |
Aetna
| Professional | $707.72 | $707.72 | $707.72 | |
Cigna
| Professional | $724.77 | $724.77 | $724.77 | |
Regence BlueShield
| Facility | $635.01 | $747.05 | $802.09 | |
United
| Professional | $675.03 | $710.56 | $710.56 |