| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,504.78 | $8,103.00 | $33,465.00 | |
Aetna
| Facility | 52 | $1,252.39 | $1,252.39 | $1,252.39 |
Regence BlueShield
| Facility | $19,947.45 | $24,875.82 | $35,712.80 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |