| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
Regence BlueShield
| Facility | $20,417.38 | $23,988.33 | $54,954.09 | |
United
| Facility | $1,995.26 | $5,128.61 | $7,079.46 |