| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,515.08 | $11,722.00 | $37,830.26 | |
Aetna
| Facility | 52 | $1,257.54 | $1,257.54 | $41,255.00 |
Regence BlueShield
| Facility | $19,947.45 | $24,875.82 | $35,712.80 | |
United
| Facility | $1,680.00 | $4,912.00 | $47,431.00 |