| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14,462.10 | $18,645.30 | $21,725.23 | |
Cigna
| Facility | $15,233.79 | $25,203.16 | $29,685.47 | |
Regence BlueShield
| Facility | $10,482.37 | $14,089.08 | $21,120.07 | |
United
| Facility | $3,775.00 | $3,775.00 | $9,862.69 |