| 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 | $16,616.70 | $20,988.87 | $30,397.25 | |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |