| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,494.69 | $8,188.00 | $12,290.00 | |
Cigna
| Facility | $12,290.00 | $12,290.00 | $12,290.00 | |
Regence BlueShield
| Facility | $14,734.45 | $19,517.43 | $28,442.50 | |
United
| Facility | $3,028.00 | $12,290.00 | $15,174.00 |