| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.44 | $577.84 | $577.84 | |
Aetna
| Professional | $577.84 | $577.84 | $577.84 | |
Cigna
| Facility | $577.52 | $700.50 | $749.84 | |
Cigna
| Professional | $498.14 | $498.14 | $498.14 | |
Regence BlueShield
| Facility | $791.69 | $987.17 | $1,417.23 | |
United
| Professional | $497.80 | $498.14 | $498.14 |