| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,805.00 | $13,753.40 | $13,753.40 | |
Aetna
| Professional | $13,753.40 | $13,753.40 | $13,753.40 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Facility | $7,275.97 | $10,238.87 | $15,590.83 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |