| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $495.79 | $712.03 | $4,312.00 | |
Aetna
| Facility | 54 | $488.91 | $534.02 | $1,211.65 |
Regence BlueShield
| Facility | $2,304.17 | $3,047.35 | $4,440.85 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |