| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $5,743.00 | $11,471.00 | |
Aetna
| Professional | $2,843.00 | $3,216.00 | $8,763.00 | |
Regence BlueShield
| Facility | $6,075.06 | $7,576.01 | $10,876.45 | |
United
| Facility | $1,202.00 | $4,912.00 | $8,267.00 |