| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,682.21 | $5,654.13 | $9,135.00 | |
Cigna
| Facility | $9,135.00 | $9,135.00 | $9,135.00 | |
Regence BlueShield
| Facility | $10,361.94 | $13,564.50 | $19,767.36 | |
United
| Facility | $3,028.00 | $9,135.00 | $15,174.00 |