| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.74 | $345.74 | $345.74 | |
Aetna
| Professional | $345.74 | $345.74 | $345.74 | |
Cigna
| Professional | $367.96 | $367.96 | $367.96 | |
Regence BlueShield
| Facility | $205.25 | $227.53 | $227.53 | |
United
| Professional | $339.66 | $357.54 | $357.54 |