| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,075.03 | $5,075.03 | $5,075.03 | |
Pacific Source
| Facility | $4,298.52 | $27,137.30 | $79,999.20 | |
Regence BlueShield
| Professional | $25,530.00 | $25,530.00 | $26,404.82 | |
United
| Professional | $5,577.64 | $5,577.64 | $6,084.73 |