| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $614.66 | $614.66 | $617.79 | |
Aetna
| Professional | $614.66 | $614.66 | $614.66 | |
Cigna
| Facility | $615.20 | $748.75 | $798.77 | |
Cigna
| Professional | $529.89 | $529.89 | $529.89 | |
Regence BlueShield
| Facility | $839.28 | $1,064.80 | $1,528.68 | |
United
| Professional | $529.89 | $529.89 | $529.89 |