| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,025.60 | $9,120.11 | |
Aetna
| Professional | $2,818.38 | $15,488.17 | $15,488.17 | |
Cigna
| Professional | $10,000.00 | $10,000.00 | $10,000.00 | |
Regence BlueShield
| Facility | $18,197.01 | $30,902.95 | $72,443.60 | |
United
| Facility | $3,311.31 | $5,128.61 | $24,547.09 |