| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $18,028.09 | $18,028.09 | |
Aetna
| Professional | $18,028.09 | $18,028.09 | $18,028.09 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Facility | $31,610.23 | $44,515.87 | $57,287.30 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |