| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $820.78 | $5,743.00 | $9,135.00 | |
Cigna
| Facility | $9,135.00 | $9,135.00 | $9,135.00 | |
Regence BlueShield
| Facility | $4,684.92 | $6,137.22 | $8,943.69 | |
United
| Facility | $3,028.00 | $9,135.00 | $15,174.00 |