| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,877.62 | $28,840.32 | $34,673.69 | |
Cigna
| Facility | $22,908.68 | $32,359.37 | $42,657.95 | |
Regence BlueShield
| Facility | $16,595.87 | $25,703.96 | $45,708.82 | |
United
| Facility | $3,801.89 | $21,877.62 | $67,608.30 |