| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,754.52 | $10,458.00 | $33,465.00 | |
Aetna
| Facility | 52 | $1,377.26 | $1,377.26 | $1,377.26 |
Regence BlueShield
| Facility | $19,947.45 | $24,875.82 | $35,712.80 | |
United
| Facility | $3,340.00 | $10,927.00 | $47,431.00 |