| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,457.47 | $5,743.00 | $21,117.46 | |
Regence BlueShield
| Facility | $10,361.94 | $13,564.50 | $19,767.36 | |
Regence BlueShield
| Facility | 50 | $15,542.91 | $20,346.75 | $29,651.04 |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |