| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18,228.47 | $18,228.47 | $18,228.47 | |
Aetna
| Professional | $15,821.91 | $18,228.47 | $18,228.47 | |
Cigna
| Professional | $16,087.50 | $16,087.50 | $16,087.50 | |
Regence BlueShield
| Facility | $27,826.76 | $34,697.56 | $49,813.33 |