| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $452.98 | $3,064.00 | $4,707.00 | |
Aetna
| Facility | 52 | $226.49 | $226.49 | $226.49 |
Regence BlueShield
| Facility | $8,327.15 | $10,806.08 | $15,747.55 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |