| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,848.93 | $20,892.96 | $25,118.86 | |
Cigna
| Facility | $16,218.10 | $24,547.09 | $31,622.78 | |
Regence BlueShield
| Facility | $13,182.57 | $18,197.01 | $35,481.34 | |
United
| Facility | $3,235.94 | $10,715.19 | $18,197.01 |