| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,151.76 | $4,387.00 | $9,832.00 | |
Aetna
| Facility | 52 | $575.88 | $575.88 | $575.88 |
Regence BlueShield
| Facility | $30,214.18 | $38,246.81 | $55,736.55 | |
United
| Facility | $3,960.00 | $15,299.00 | $35,614.00 |