| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,322.12 | $8,056.38 | $16,235.97 | |
Aetna
| Facility | 52 | $1,161.06 | $1,161.06 | $1,161.06 |
Regence BlueShield
| Facility | $14,734.45 | $19,517.43 | $28,442.50 | |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |