| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,150.39 | $3,038.00 | $5,743.00 | |
Aetna
| Facility | 52 | $575.20 | $575.20 | $575.20 |
Regence BlueShield
| Facility | $30,214.18 | $38,246.81 | $55,736.55 | |
United
| Facility | $3,960.00 | $15,299.00 | $32,610.00 |