| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.08 | $3,038.00 | $6,057.47 | |
Aetna
| Facility | 52 | $153.55 | $153.55 | $534.17 |
Regence BlueShield
| Facility | $5,209.35 | $7,100.42 | $10,347.35 | |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |