| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,444.00 | $13,584.00 | $20,510.00 | |
Cigna
| Facility | $13,584.00 | $23,092.03 | $30,237.94 | |
Regence BlueShield
| Facility | $10,787.89 | $14,351.29 | $21,513.13 | |
United
| Facility | $5,662.00 | $11,974.00 | $13,584.00 |