| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.82 | $4,387.00 | $7,568.00 | |
Aetna
| Facility | 52 | $160.41 | $160.41 | $160.41 |
Regence BlueShield
| Facility | $8,327.15 | $10,806.08 | $15,747.55 | |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |