| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,744.00 | $3,592.00 | $5,743.00 | |
Aetna
| Professional | $1,575.67 | $1,575.67 | $1,575.67 | |
Regence BlueShield
| Facility | $2,814.80 | $3,509.81 | $5,038.84 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |