| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $448.32 | $3,977.00 | $5,824.00 | |
Cigna
| Facility | $5,824.00 | $5,824.00 | $5,824.00 | |
Regence BlueShield
| Facility | $7,294.75 | $9,430.81 | $13,743.39 | |
United
| Facility | $1,981.00 | $5,824.00 | $7,048.00 |