| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.83 | $6,459.40 | $11,301.43 | |
Regence BlueShield
| Facility | $26,748.34 | $35,335.00 | $51,493.21 | |
Regence BlueShield
| Facility | 50 | $40,122.51 | $53,002.50 | $77,239.82 |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |