| 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 | $13,088.36 | $24,954.24 | $36,365.48 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |