| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,134.17 | $4,247.00 | $7,048.18 | |
Cigna
| Facility | $4,247.00 | $4,247.00 | $4,247.00 | |
Regence BlueShield
| Facility | $4,525.68 | $6,104.56 | $8,896.10 | |
United
| Facility | $1,981.00 | $4,247.00 | $6,959.00 |