| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $749.39 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $749.39 | $749.39 | $749.39 | |
Regence BlueShield
| Facility | $539.07 | $755.46 | $1,100.93 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $44.57 | $54.00 | $66.30 |