| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.00 | $439.00 | $1,305.45 | |
Aetna
| Professional | $439.00 | $439.00 | $439.00 | |
Cigna
| Professional | $426.92 | $426.92 | $426.92 | |
Regence BlueShield
| Facility | $317.77 | $352.25 | $352.25 | |
United
| Professional | $528.91 | $528.91 | $588.79 |