| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $10,895.20 | $10,895.20 | |
Aetna
| Professional | $10,895.20 | $10,895.20 | $10,895.20 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Facility | $19,831.58 | $27,841.54 | $35,402.06 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |