| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $5,743.00 | $9,403.00 | |
Aetna
| Professional | $2,616.00 | $2,843.00 | $8,194.00 | |
Regence BlueShield
| Facility | $24,392.67 | $33,559.12 | $48,451.20 | |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |