| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.12 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $655.61 | $690.12 | $690.12 | |
Regence BlueShield
| Facility | $2,237.82 | $2,891.57 | $4,213.85 | |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |