| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $3,388.44 | $6,025.60 | |
Aetna
| Professional | $660.69 | $660.69 | $1,380.38 | |
Regence BlueShield
| Facility | $2,238.72 | $2,630.27 | $5,888.44 | |
United
| Facility | $1,698.24 | $4,466.84 | $5,128.61 |