| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21,992.00 | $22,452.20 | $32,678.10 | |
Cigna
| Facility | $21,992.00 | $34,731.56 | $45,479.37 | |
Regence BlueShield
| Facility | $16,059.43 | $21,828.52 | $32,356.82 | |
United
| Facility | $15,311.67 | $21,992.00 | $30,939.00 |