| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,305.00 | $18,442.70 | $26,430.72 | |
Cigna
| Facility | $15,068.27 | $24,929.32 | $31,069.50 | |
Regence BlueShield
| Facility | $10,971.10 | $14,745.96 | $22,104.75 | |
United
| Facility | $3,775.00 | $3,775.00 | $9,755.53 |