| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,744.00 | $3,592.00 | $5,743.00 | |
Aetna
| Professional | $532.17 | $532.17 | $532.17 | |
Regence BlueShield
| Facility | $873.66 | $1,190.82 | $1,735.36 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 |