| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $536.09 | $536.09 | $536.09 | |
Aetna
| Professional | $536.09 | $536.09 | $536.09 | |
Cigna
| Professional | $570.54 | $570.54 | $570.54 | |
Regence BlueShield
| Facility | $192.80 | $213.73 | $273.87 | |
United
| Professional | $613.60 | $645.89 | $645.89 |