| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,992.00 | $40,510.19 | $58,960.70 | |
Cigna
| Facility | $21,992.00 | $59,295.92 | $77,645.27 | |
Regence BlueShield
| Facility | $26,951.45 | $36,851.37 | $55,241.62 | |
United
| Facility | $3,775.00 | $21,992.00 | $30,966.00 |