| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $5,743.00 | $8,802.00 | |
Aetna
| Professional | $1,992.00 | $2,843.00 | $7,679.00 | |
Regence BlueShield
| Facility | $12,815.02 | $17,467.05 | $25,454.49 | |
United
| Facility | $871.00 | $4,455.00 | $7,048.00 |